ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz M. Chlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Chest.
CLINICAL PROFILE :
C/O hemoptysis since 00.00.00.
C/O generalized weakness with ? decreased appetite.
Family h/o kochs.
EXAMINATION :
M.R.I. of the chest was performed using the following parameters:

8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.5 mm thick T1 Weighted and T2 Weighted coronal images.OBSERVATION :

There is a small lesion which is well-defined in the right paravertebral region extending over the D1-D2 to D2-D3 levels. This lesion measures approximately 0.8 x 1.6 x 0.9 cms. This lesion is isointense to muscle on the T1 Weighted images and turns hyperintense on the T2 Weighted images (scan 103.4 & 104.4).

There is a fairly well-defined lesion seen in the posterior basal segment of the left lower lobe which is isointense to normal muscle on the T1 Weighted images and turns mildly hyperintense on the T2 Weighted images and would represent small area of consolidation/pulmonary nodule (scan 105.3 & 103.17)

The vascular structures in the mediastinum are normal. The hila bilaterally appear to be normal.



The visualized cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted and T2 Weighted axial images and does not reveal any pathology within the spinal canal.

IMPRESSION :
The MRI features are suggestive of :

1. A well-defined lesion in the right paravertebral region extending over the D1-D2 to D2-D3 levels and measuring approximately 0.8 x 1.6 x 0.9 cms. is not specific for a single etiology. A nerve sheath tumor should be included in the differential diagnosis.

2. A lesion in the posterior basal segment of the left lower lobe of the left lung which may represent consolidation/pulmonary nodule (? infective ?? neoplastic).