ABDOMEN AND PELVIS

 

MRI SCAN OF ABDOMEN AND PELVIS

MRI scan of the abdomen was performed using T1 and T2 weighted sequences, in multiple planes and a phased array torso coil.

The liver is normal in size and has smooth margins.It measures 15.9cms in long axis. 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 adrenal glands are well-identified, bilaterally.  These are normal in location, size and shape.  

The dominant finding in this evaluation is presence of T2 iso to hypointense lobulated mass lesion seen involving the urinary bladder along its right lateral aspect. This measures approximately 2.9 x 3.1 x 2.9 cm in size. This lesion is seen extending into the right vesicoureteric junction. This is concerning for underlying neoplastic process.

Both kidneys are normal in shape, size and location.There is mild bilateral renal cortical thinning. Mild to moderate right hydronephrosis and hydroureter is seen. This is likely secondary to the above described urinary bladder mass lesion.

Simple cyst is seen in lower pole of left kidney.

There is moderate bilateral perinephric fat stranding. 

Prostate gland is mildly enlarged. There are features of benign prostatic hyperplasia.

Seminal vesicles are normal in size and morphology.

The aorta and IVC and the major pelvic blood vessels are normal. 

There is no significant lymphadenopathy.

The visualized bowel loops do not reveal any obvious abnormality.  

No free fluid is detected in the abdomen or pelvis. 

Visualised bones appear osteoporotic. Heterogeneous signal intensity area likely lacunar infarct is seen in the right femoral head.  

Impressions:

A fairly large T2 iso to hypointense lobulated mass lesion is seen in the right lateral aspect of the urinary bladder extending into the vesicoureteric junction,as described above. It is highly concerning for underlying neoplastic process.

Further evaluation with cystoscopy and histopathologic correlation is recommended. 

Mild to moderate right hydronephrosis and hydroureter secondary mass effect by the above described urinary bladder mass lesion.

Perinephric fat stranding.

Simple cyst in the lower pole  of left kidney.

Bones are osteoporotic.