sb/hs.

Date : 00.00.00

Name of the Patient : Abc Xyzta R. Thalmn / F / 53 yrs.
Referred by : Dr. Abc Xyzansali.
Examination : M.R.I. of the Pelvis.

EXAMINATION :

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

10 mm thick T1 Weighted and T2 Weighted axial images.

8 mm thick T1 Weighted and T2 Weighted coronal images.

8 mm thick T2 Weighted sagittal images.

OBSERVATION :

There is a fairly large, lobulated, intermediate signal intensity mass lesion on the T1 Weighted images in the left gluteal region, extending into the pelvis via the left ischio-rectal fossa. This lesion appears hyperintense on the T2 Weighted images and measures approximately 16.0 x 28.0 cms in its maximum dimension. This lesion extends into the pelvis from the left gluteal region between the gluteal muscles laterally and the anal canal medially. Within the pelvis, the lesion extends on either side of the rectum and anal canal via the presacral region with resultant compression of the same. The urinary bladder is also compressed and displaced anteriorly. Superiorly the lesion extends upto the true pelvic brim. Also seen is slight extension into the right ischio-rectal fossa.

The uterus is not visualized, the result of pervious hysterectomy. The adnexae are also not visualized ? due to surgical removal.


There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.

IMPRESSION :

Fairly large, approximately 16.0 x 28.0 cms sized lobulated mass lesion in the left gluteal region, extending into the pelvis via the left ischio-rectal fossa as described, is not specific for a single etiology. This lesion is most likely a cystic lesion (? abscess).