PATIENT’S NAME : MRS.
KALPANA BORKAR 40Y/F
DATE OF EXAM. : 10/05/2023
RFD BY : DR. NAGESH MADNOORKAR
MRI SCAN OF ABDOMEN AND PELVIS(PLAIN+CONTRAST)
TECHNIQUE :
MRI scan of the abdomen and pelvis was performed using T1 and T2 weighted
sequences along with Ce-Gd study, in multiple planes.
OBSERVATION:
The liver is normal in size and has smooth margins. The hepatic parenchyma reveals
normal signal intensity. No focal intrahepatic lesion is detected. The portobiliary
radicles are normal in calibre and show normal distribution. The portal vein displays
normal flow void and is normal in calibre.
The gall bladder is well distended. No hypointensities are seen within it to suggest
presence of calculi. The wall is normal in thickness. There is no mass lesion. The
common bile duct is normal in course and calibre. No intraluminal filling defects are
visualized.
The pancreas is normal in size and displays normal signal intensity. There is no focal
intra or peripancreatic lesion. The pancreatic duct is normal in calibre. The
intrapancreatic portion of common bile duct is normal. The peripancreatic fat is also
normal.
The spleen is normal in size. The parenchyma displays normal signal intensity. There
is no focal parenchymal lesion. The splenic vein is normal.
The adrenal glands are well-identified, bilaterally. These are normal in location, size
and shape. There is no focal lesion involving the body or limbs of these glands.
Both kidneys are normal in shape, size and location. The cortex displays normal
signal intensity and is uniform in thickness. There is no evidence of hydronephrosis.
No mass lesion is detected. The perinephric fat is preserved, bilaterally.
The uterus is normal in size and shape. It is anteverted and anteflexed. E/o a 29 x 27
mm sized anterior wall inner intramural uterine fibroid noted. Rest of the
myometrium displays normal signal intensity. The junctional zone has a uniform
thickness and displays normal signal intensity. The endometrium is normal in
thickness, measures 14 mm. No focal endometrial lesion is detected. The cervix is
normal in shape and signal intensity. The parametrium is normal bilaterally. The
vagina is also normal in it’s visualized extent.
The ovaries are well-identified, bilaterally. These are normal in size and show
presence of multiple small follicles. Fluid equivalent signal intensity cysts noted
within bilateral ovaries measures 29 x 27 mm on right side and 24 x 19 mm on left
side.
No mass lesion is detected in the pelvis.
Urinary bladder is well seen and appears normal. No mass lesion is seen within it. It's
wall reveals normal thickness.
The aorta and IVC and the major pelvic blood vessels are normal.
There is no lymphadenopathy.
E/o mucosal thickening and edema noted involving the anal canal which also shows
increased postgadolinium enhancement. Few air pockets noted within the anal
mucosa.
The visualized bowel loops do not reveal any obvious abnormality.
Minimal free fluid is detected in the pelvis.
Visualised bones are normal.
IMPRESSION :
• Anterior wall inner intramural uterine fibroid
• Simple bilateral ovarian cysts.
• E/o mucosal thickening and edema noted involving the anal canal which also
shows increased postgadolinium enhancement. Few air pockets noted within
the anal mucosa. These represent inflammatory / infective changes.
Clinical correlation is suggested
Dr. Gaurav Khairnar Dr. Rashmi C Shende
MD Radio-Diagnosis MBBS, MD (Radiodiagnosis)
Consultant Radiologist Consultant Radiologist
Reg. No. 2003/05/2158
