MRI

Technique: MRI scan of the abdomen and pelvis was performed using T1 and T2 weighted sequences, in multiple planes. In addition, post contrast images were obtained.
Clinical Details:
Findings:

• 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 spaces are also normal bilaterally.
• Urinary bladder is well seen and appears normal. No mass lesion is seen within it. It’s wall reveals normal thickness.
• The uterus is normal in size and shape. It is anteverted and anteflexed and has a smooth contour. The myometrium displays normal signal intensity. The anterior and posterior walls are equal in thickness. There is no focal area of altered signal abnormality. The junctional zone has a uniform thickness and displays normal signal intensity. The endometrium is normal in thickness. 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 its visualized extent.
• The ovaries are well-identified, bilaterally. These are normal in size and show presence of multiple small follicles. No mass lesion is detected in the pelvis. The major pelvic blood vessels are normal.
• There is no evidence of pelvic lymphadenopathy. The visualized bowel loops do not reveal any obvious abnormality. There is no free fluid in the pelvis.

Impression: No significant abnormality is seen in present examination.
Advice:  Kindly correlate with clinical findings & relevant investigations.