Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does The Following MRI Scan Report Suggest?
Question: IMPRESSION: of MRI scan
1. Multiseptated cystic lesion seen in the region of the lesser sac, porta hepatis and
the fissure for ligamentum teres, with dimensions, extent and mass effect as
described above. The main imaging differential is a cystic lymphangioma of the
lesser sac. Other, less likely differentials, include large exophytic hepatic cyst,
cystic lesions of mesothelial or enteric origin, postinfectious
or posttraumatic
pseudocyst amongst other causes of cystic abdominal lesions. Suggest
Ultrasound correlation and follow up imaging.
2. Subcentimeter
simple hepatic cysts seen in the liver.
my question is:
whats the difference between MRI and Ultrasound correlation . could ultra sound give other information then a mri scan.
and what are the symptoms you can experience due to the finding s of the MRI
1. Multiseptated cystic lesion seen in the region of the lesser sac, porta hepatis and
the fissure for ligamentum teres, with dimensions, extent and mass effect as
described above. The main imaging differential is a cystic lymphangioma of the
lesser sac. Other, less likely differentials, include large exophytic hepatic cyst,
cystic lesions of mesothelial or enteric origin, postinfectious
or posttraumatic
pseudocyst amongst other causes of cystic abdominal lesions. Suggest
Ultrasound correlation and follow up imaging.
2. Subcentimeter
simple hepatic cysts seen in the liver.
my question is:
whats the difference between MRI and Ultrasound correlation . could ultra sound give other information then a mri scan.
and what are the symptoms you can experience due to the finding s of the MRI
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The MRI scan uses property of magnetic resonance of hydrogen atoms in the body which are present in every structure.
2. Ultrasound scan uses sound waves to make a picture.
3. MRI scan is showing the presence os a fluid containing cystic area in the space next to the liver region, an area knon as lesser sac.
4. The ultrasound scan shows cysts in the liver. If MRI confirms a mass in lesser sac then the ultrasound scan requires to be reviewed for proper orientation of the lesion.
5. Ultrasound and MRI have their own advantages and disadvantages. Ultrasound is more of a skilled technique and done in real time. Therefore there are situatins where ultrasound might give more information like blood flow, magnified view of small lesions and a dynamic picture with blood flow velocity. MRI gives a more complete picture and a comprehensive location of the problem area.
In the above case I suspect the patient to be having mild upper abdominal discomfort, they might have pressure symptoms and rarely might have pain. Vomiting might happen in few people.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The MRI scan uses property of magnetic resonance of hydrogen atoms in the body which are present in every structure.
2. Ultrasound scan uses sound waves to make a picture.
3. MRI scan is showing the presence os a fluid containing cystic area in the space next to the liver region, an area knon as lesser sac.
4. The ultrasound scan shows cysts in the liver. If MRI confirms a mass in lesser sac then the ultrasound scan requires to be reviewed for proper orientation of the lesion.
5. Ultrasound and MRI have their own advantages and disadvantages. Ultrasound is more of a skilled technique and done in real time. Therefore there are situatins where ultrasound might give more information like blood flow, magnified view of small lesions and a dynamic picture with blood flow velocity. MRI gives a more complete picture and a comprehensive location of the problem area.
In the above case I suspect the patient to be having mild upper abdominal discomfort, they might have pressure symptoms and rarely might have pain. Vomiting might happen in few people.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
you wrote: In the above case I suspect the patient to be having mild upper abdominal discomfort, they might have pressure symptoms and rarely might have pain. Vomiting might happen in few people.
pressure symptoms ..what do you mean by that. swollen tummy or pressure going to the toilet .
gr XXXXXXX
pressure symptoms ..what do you mean by that. swollen tummy or pressure going to the toilet .
gr XXXXXXX
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The size of the lesion is impotant to know if it might cause pressure on the surrounding bowel. Your query does not mention the size but it is written that the lesion is causing mass effect.
2. Depending on its size it might cause a swollen tummy.
3. Pressurre going to the toilet is less likely but cannot be ruled out.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The size of the lesion is impotant to know if it might cause pressure on the surrounding bowel. Your query does not mention the size but it is written that the lesion is causing mass effect.
2. Depending on its size it might cause a swollen tummy.
3. Pressurre going to the toilet is less likely but cannot be ruled out.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
this is what is written,
There is a 54 [ML] x 53 [CC] x 50 [AP] millimeters multiseptated cystic lesion with thin walls and multiple thin septae seen in the region of the lesser sac, porta hepatis and the fissure for ligamentum teres. The lesion demonstrates low T1 and markedly high T2 signal with thin internal septations within. There is no evidence of hemorrhage, proteinaceous material or focal wall thickening to suggest infection. Following contrast administration, there is mild peripheral enhancement of the lesion in association with mild enhancement of the internal septations. No solid elements or papillary projections demonstrated. The lesion is seen to cause slight mass effect on the surrounding structures. There is inferior displacement of the pylorus, D1 and proximal D2 segments
of the duodenum. There is posterior and inferior displacement of the head of the
pancreas. There is mild posterior displacement of the gallbladder neck and the CBD. The hepatic artery is seen to form the posterior relation of the lesion. No obvious biliary dilation seen. There are multiple (atleast 1012) tiny 23
mm nonenhancing cysts seen scattered in the liver parenchyma, in keeping with simple hepatic cysts. No solid liver lesion or abnormal enhancement seen.
think that is to small to cause the things you mentioned.
oke that was the last question. thank you for your answers.
There is a 54 [ML] x 53 [CC] x 50 [AP] millimeters multiseptated cystic lesion with thin walls and multiple thin septae seen in the region of the lesser sac, porta hepatis and the fissure for ligamentum teres. The lesion demonstrates low T1 and markedly high T2 signal with thin internal septations within. There is no evidence of hemorrhage, proteinaceous material or focal wall thickening to suggest infection. Following contrast administration, there is mild peripheral enhancement of the lesion in association with mild enhancement of the internal septations. No solid elements or papillary projections demonstrated. The lesion is seen to cause slight mass effect on the surrounding structures. There is inferior displacement of the pylorus, D1 and proximal D2 segments
of the duodenum. There is posterior and inferior displacement of the head of the
pancreas. There is mild posterior displacement of the gallbladder neck and the CBD. The hepatic artery is seen to form the posterior relation of the lesion. No obvious biliary dilation seen. There are multiple (atleast 1012) tiny 23
mm nonenhancing cysts seen scattered in the liver parenchyma, in keeping with simple hepatic cysts. No solid liver lesion or abnormal enhancement seen.
think that is to small to cause the things you mentioned.
oke that was the last question. thank you for your answers.
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The lesion is the size of a tennis ball and present close to the area where the stomach ends and small intestine starts. Such a lesion might cause a small bump in the upper abdomen.
2. With slight pressure on the first and second part of the duodenum, it might cause slight discomfort after meals.
3. The cysts in the liver as seen on MRI and are multiple with largest measuring about 23 mm in diameter. This is unlikely to cause any symptoms.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The lesion is the size of a tennis ball and present close to the area where the stomach ends and small intestine starts. Such a lesion might cause a small bump in the upper abdomen.
2. With slight pressure on the first and second part of the duodenum, it might cause slight discomfort after meals.
3. The cysts in the liver as seen on MRI and are multiple with largest measuring about 23 mm in diameter. This is unlikely to cause any symptoms.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
