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Date : 00.00.00

Name of the Patient : Abc Xyzh Palmn / M / 39 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O abdominal dysfunction since 6 days with fever/chills.

EXAMINATION :

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

6 mm thick T1 Weighted, T2 Weighted and Fast Scan (T2 *) axial images.

7 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

The lobes of the liver, right more than the left, appear small. The surface of the right lobe of the liver shows an irregular margin. The liver appears slightly hyperintense to the spleen on the T1 Weighted images. This is seen to turn hypointense on the T2 Weighted, GRASS and STIR images. However no obvious mass lesion is seen within the liver parenchyma (A suspicious regenerating mass nodule is noted in the right lobe of the liver, anterior to the IVC). Mild caudate lobe hypertrophy is noted.

The liver is normal in position. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is distorted.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in size and shape.

A splenuncle is noted along the postero-medial margin of the spleen. Splenomegaly is noted. Adrenal glands are unremarkable.

Both the kidneys are normal in size and shape.
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No lymphadenopathy is detected. There is free fluid within the abdomen.

Pleural effusion is noted on the left side.

The visualized marrow of the dorsal vertebrae appears normal.

IMPRESSION :

1. Small sized liver with irregular margin and slight caudate lobe hypertrophy suggests cirrhosis.

2. Splenomegaly and ascites may suggest portal hypertension.

3. Pleural effusion on the left side.