Displaying items by tag: forearm

Sunday, 27 December 2015 16:48

13163

hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzhan Poolmn / M / 49 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Left Forearm.

CLINICAL PROFILE :

C/O pain and swelling over the left forearm since 1 year.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of a fairly well-defined mass lesion measuring approximately 4.8 x 5.5 x 8.0 cms arising from the proximal aspect of the left radius and expanding it. The head and neck of the left radius are destroyed and this lesion is seen to have a sharp cut off with the normal marrow distally approximately 8.5 cms from the elbow joint.

This lesion is hyperintense to muscle but hypointense to fat on the T1 Weighted images and hyperintense to both on the T2 Weighted and STIR images. Also seen are areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images within this lesion and would represent cystic/necrotic changes.





This lesion is seen to involve the proximal radioulnar joint and reaches upto the elbow joint. Fluid is noted within the left elbow joint. This lesion is seen to displace the adjacent muscles. However, there is no involvement of the muscles per se. There is no obvious encasement of the vessels around this lesion, although the vessels are displaced by the lesion.

IMPRESSION :

The MRI features are suggestive of a fairly well-defined mass lesion measuring approximately 4.8 x 5.5 x 8.0 cms arising from the proximal aspect of the left radius with extensions as described. This most likely represents a neoplastic process. A giant cell tumor should be considered as a likely possibility.


Published in MRI Reports