הוספת הודעההוספת תגובה פורום רדיולוגיה - ראש הפורום

אודה להכוונה תשובות MRI מח ואגן וסי

אני(19.2.2022, 14:46)
  1. CT סינוסים וצוואר

1. Minimal mucosal thickening is seen around both ostiomeatal complexes, attenuating them, without occlusion. 2. Hypertrophied right inferior nasal turbinate, with normal appearing left one. 3. Mild bowing of the nasal septum to the left side, by 1.5 mm. 4. Right middle concha bullosa, with clear content. 5. Minimal bilateral mastoiditis. 6. Scanned salivary glands are unremarkable. The thyroid gland is not covered at the current study, for further CT or MRI evaluation of the neck soft tissues if clinically deemed necessary.

2. MRI מח

There is no evidence of acute hemorrhage. There is a punctate focus of susceptibility at the dorsal aspect of the mid fourth ventricle in the region of the ventral cerebellar vermis (series 6 and 9, image 14). Their is no associated edema on the FLAIR sequence

No additional susceptibility findings are identified. The remainder of the brain parenchyma is unremarkable on other sequences

There is no mass effect or midline shift The ventricles and cortical sulci are within normal limits The major flow voids are maintained. There is no abnormal enhancement. . Cerebellar tonsils are within normal limits in position.

There are trace mastoid effusions bilaterally. Incidental note is made of very small Tornwaldt cyst in the midline nasopharynx (series 10 image 6). Otherwise extracranial structures are unremarkable, including the region of the orbits, within the limits of routine protocol examination

1) No acute intracranial findings or abnormal enhancement.

2) Single punctate focus of susceptibility at the ventral aspect of cerebellar vermis / dorsal fourth ventricle, nonspecific. This may represent an incidental focus of mineralization in choroid plexus in this region or in the cerebellar vermis, a small vascular focus such as a cavernoma (without e 3) Otherwise unremarkable MRI of the brain. DISCLAIMER edema to suggest hemorrhage), or chronic sequelae of prior punctate microhemorrhage or trauma. 4) Trace mastoid effusions bilaterally.

MRI אגן

The uterus is anteverted, bulky and measures 10 x 8 x 6.5 cm along its maximum orthogonal dimensions, with its endometrial lining measuring 2 mm in thickness, and its junctional zone is of uniform average thickness. Multiple variable sized intra myomemtrial well defined, rounded to oval soft tissue mass lesions are seen, eliciting low signal to the myometrium at T2 images and iso-intense signal at T1 images, showing less contrast enhancement than the surrounding myometrium at the post contrast series, these lesions are seen implicating all parts of the myometrium giving the uterus a globular appearance, with the largest seen at the posterior uterine wall, measuring 4.5 x 4 x 5 cm in maximum dimensions, with another large one seen at the anterior wall , measuring 3.7 x 4 cm, and they are impressive of uterine fibroids. The right ovary measures 2.8 x 2.5 x 1.6 cm, showing multiple cysts, the largest measures 1.6 cm, likely functional in origin and the left measures 2 x 2.5 x 2.8 cm in maximum orthogonal dimensions, with peripherally situated cysts/follicles. No free pelvic fluid collection seen. Normal urinary bladder and rectum.

Anteverted uterus with multiple variable sized intra-myometrial fibroids, unchanged since since the prior studies. 2. Prominent bilateral ovarian cysts/follicles, larger on the right side, likely of functional origin.

יש ממצאים גם ב CT חזה ו US בלוטות הרוק :(

תודה!