sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzDelmn / F / 32 yrs.
Referred by : Dr. Abc Xyz/ Dr. Abc Xyzatt.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

Left sided radical nephrectomy done for a left sided abdominal mass on 00.00.00. Histopathology s/o ? adrenal cortical carcinoma, ? pheochromocytoma. Now C/O pain in the left iliac bone and left sacro-iliac joint since 6 months.

EXAMINATION :

M.R.I of the abdomen was performed using the following parameters:

6 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen an approximately 2.5 x 3.0 x 4.8 cms sized, lobulated intermediate signal intensity mass lesion on the T1 Weighted images in the left paraaortic region along the left antero-lateral margin of the vertebral body at about the D11 to L1 vertebral levels. This lesion appears hyperintense on the T2 Weighted and STIR images with a central hypointense signal in the lesion, superiorly. This lesion is retrocrural in location and is seen posterior to the left crus of the diaphragm. The crus of the diaphragm is displaced laterally.

The left kidney is not visualized, the sequelae of previous nephrectomy.





The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in bulk and signal intensity.

The spleen and the right adrenal gland are normal.

The right kidney is normal in size and signal intensity.

There is no evidence of free fluid within the abdomen.

IMPRESSION :

An approximately 2.5 x 3.0 x 4.8 cms sized, lobulated mass lesion in the left para-aortic region along the left antero-lateral margin of the vertebral bodies over about the D11 to L1 vertebral levels as described is not specific for a single etiology. The retrocrural location of the mass favours this lesion to be a lypmphnodal mass, probably metastasis from the previous left adrenal lesion.

The possibility of recurrence of the tumor is less likely.

The patient is status post-left nephrectomy.

The preoperative scans were not available for review.