
What Do These MRI Findings Indicate?

Question: hi
can u pls tell me what does my usg and mri report indicates
can u pls tell me what does my usg and mri report indicates
Brief Answer:
Please upload the reports
Detailed Answer:
Hi dear,
I have gone through your ultrasound and Mri reports.
The sinus tract suggested in USG is not visible in MRI and may be healed or wrongly reported.
THe MRI is also showing features suggestive of sacroiliatis.
You should visit to a rheumatologist.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Please upload the reports
Detailed Answer:
Hi dear,
I have gone through your ultrasound and Mri reports.
The sinus tract suggested in USG is not visible in MRI and may be healed or wrongly reported.
THe MRI is also showing features suggestive of sacroiliatis.
You should visit to a rheumatologist.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Above answer was peer-reviewed by :
Dr. Vaishalee Punj


thanks doctor
I had my csec delivery 2:5 years back.. Right from day 1 I had some difficulty in my right area where the pfannestial incision was done.. Three months later I developed a sinus track from properitoneal space to skin in right lower quadrant of abdominal wall that was doubted of tb(encl report) then att was started in April 14(csec-- Nov 14)att was then given for a year till April 15..again in May 15 I was having discomfort which was slowly radiated to left also... The USg done said its intralobular subcutaneous edema again after a month from July onwards att started again which I m still taking (macox plus600 and levomac 500)in july a sceond opinion was taken and that usg showed fat necrosis and panniculitis,however my doc continued att,but somewhere down the line i feel had it been tb was it possible that it may have gradually radiated to left side also..then an mri was done that showed pelvic peritoneal adhesions enclosing report mri dtd march and that doc communicated me verbally that fat necrosis mentioned in usg is still there neither increased nor decreased.but didnt mention that in report.my gynae wasnt convinced and asked for a rereview of report from another radiologist (whose report was enclosed in ist quesion)
i have difficulty in sitting sleeping and daily activities .sometimes my pelvic movements are also restricted.i feel heaviness and tightness and discomfort in lower abdomenbased on all my history i have three doubts if that can be ruled out
1.cellulitis/drug resistant tb I was treated for cellulitis also in XXXXXXX 15
2 fat necrosis/autoimmune disorder
3 any suture fragment related allergy/cancer
Also my gynae has asked me for a repeat mri and wants to proceed for daignostic lap...is that safe doctor if there is any of the above mentioned
prob;em and is diagnostic lap a right procedure for the problem related to subcutaneous fat of abdomen ......also will taking tablets like chymoral br for some long time help me(since i really want to avoid surgery)also doctor i have a history of chronic bronchitis and severe allergies...pls guide doctor
brief history
c sec---nov 14
ist usg ----feb 15(that doubted of tb)
ist mri----feb 16(it showed a sfoft tissue track in same area and adhesions in sigmoid colon and left ovary
att started---april 15 to aprll 16
iind usg----may 16 (Intralobular subcutaneous edema)
att started again ---july 16 to present
second opinion usg oct 16(that showed fat necrosis and panniculitis)
mri march 16 pelvic peritoneal adhesions
may 16 rerevied report enclosed
I had my csec delivery 2:5 years back.. Right from day 1 I had some difficulty in my right area where the pfannestial incision was done.. Three months later I developed a sinus track from properitoneal space to skin in right lower quadrant of abdominal wall that was doubted of tb(encl report) then att was started in April 14(csec-- Nov 14)att was then given for a year till April 15..again in May 15 I was having discomfort which was slowly radiated to left also... The USg done said its intralobular subcutaneous edema again after a month from July onwards att started again which I m still taking (macox plus600 and levomac 500)in july a sceond opinion was taken and that usg showed fat necrosis and panniculitis,however my doc continued att,but somewhere down the line i feel had it been tb was it possible that it may have gradually radiated to left side also..then an mri was done that showed pelvic peritoneal adhesions enclosing report mri dtd march and that doc communicated me verbally that fat necrosis mentioned in usg is still there neither increased nor decreased.but didnt mention that in report.my gynae wasnt convinced and asked for a rereview of report from another radiologist (whose report was enclosed in ist quesion)
i have difficulty in sitting sleeping and daily activities .sometimes my pelvic movements are also restricted.i feel heaviness and tightness and discomfort in lower abdomenbased on all my history i have three doubts if that can be ruled out
1.cellulitis/drug resistant tb I was treated for cellulitis also in XXXXXXX 15
2 fat necrosis/autoimmune disorder
3 any suture fragment related allergy/cancer
Also my gynae has asked me for a repeat mri and wants to proceed for daignostic lap...is that safe doctor if there is any of the above mentioned
prob;em and is diagnostic lap a right procedure for the problem related to subcutaneous fat of abdomen ......also will taking tablets like chymoral br for some long time help me(since i really want to avoid surgery)also doctor i have a history of chronic bronchitis and severe allergies...pls guide doctor
brief history
c sec---nov 14
ist usg ----feb 15(that doubted of tb)
ist mri----feb 16(it showed a sfoft tissue track in same area and adhesions in sigmoid colon and left ovary
att started---april 15 to aprll 16
iind usg----may 16 (Intralobular subcutaneous edema)
att started again ---july 16 to present
second opinion usg oct 16(that showed fat necrosis and panniculitis)
mri march 16 pelvic peritoneal adhesions
may 16 rerevied report enclosed
Brief Answer:
take a second opinion too
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
The answers to your queries are as below.
1.cellulitis/drug resistant tb I was treated for cellulitis also in XXXXXXX 15
Ans: The possibility of drug resistant Tb can only be made on culture report. Cellulitis is unlikely for such a long duration.
2 fat necrosis/autoimmune disorder
Ans: Possibility of fat necrosis and autoimmune disorder is unlikely as no other features like joint pain, rashes, recurrent abortions are present.
3 any suture fragment related allergy/cancer?
Ans: Possibility of allergy to suture material is there. Possibility of cancer is unlikely.
The need of Lap is not well evident and it may only help in taking a diagnostic tissue biopsy or material for further investigations.
Take a second opinion from a gynecologist with visit and all records.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
take a second opinion too
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
The answers to your queries are as below.
1.cellulitis/drug resistant tb I was treated for cellulitis also in XXXXXXX 15
Ans: The possibility of drug resistant Tb can only be made on culture report. Cellulitis is unlikely for such a long duration.
2 fat necrosis/autoimmune disorder
Ans: Possibility of fat necrosis and autoimmune disorder is unlikely as no other features like joint pain, rashes, recurrent abortions are present.
3 any suture fragment related allergy/cancer?
Ans: Possibility of allergy to suture material is there. Possibility of cancer is unlikely.
The need of Lap is not well evident and it may only help in taking a diagnostic tissue biopsy or material for further investigations.
Take a second opinion from a gynecologist with visit and all records.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Remy Koshy


Brief Answer:
No method
Detailed Answer:
Hi dear,
No, there is no method to check the suture allergy except surgery.
Yes, blong can be taken with becasoule capsules.
Yes, enzyme preparation can be taken with ATT.
Regards
Dr Deepti Verma
No method
Detailed Answer:
Hi dear,
No, there is no method to check the suture allergy except surgery.
Yes, blong can be taken with becasoule capsules.
Yes, enzyme preparation can be taken with ATT.
Regards
Dr Deepti Verma
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Kampana

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Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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