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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can An Online Doctor Read MRI Scan?

hi i am gagan arora age 28 years i have three gaanth in neck 2 is in right side and one is in left side. i have report of MRI Scan which is under mention kindly suggest me what is the actual status of the same and also let me a reight doctor for the same
and i try to get FNAC report but as per doctor say masala had not got . pls suggest me what i do ?

An ill defind mildly enhancing soft tissue lesion is seen involving posterior and lateral wall of the pharynx on right side . the lesion is causing almost complete obliteration of orpharyngeal cavity. thelesion is seen infiltrating medial pterygoid and palatoglossus muscleon right side . anteriorly the lesion is also seen abutting yo the base of tongue on right side . posteriorly the lesion is seen infiltrating longus coli muscle. the lesion is measuring approx 3.3x . 30x 3.5 cm in size.



Multiple rounded to oval lesions displaying signal intensity hyperintenseon T2 Wls & hypointense onT1 Wlsare seen in bilateralcervical region (level 1 & 2)region .Larger ones measuring approx 2cm s/o lymphadenopathy.

collection is seen in right mastoid region -mastoiditis.
left nasal muscosal hypertrophy with thinning of nasal air column-rhinitis is seen

Epiglottis,aryepiglottic folds and vocal cords are normal and symmetrical

Bilateral pyriform fossae are normal with no mass lesion seen

Rest of the muscles of tongue are normal in morphology ,signal intensity are bilaterally symmetrical with no focal lesion noted

Soft tissue of neck including muscukar & farcial planes is normal in morphology & signal intensity .

Great vessels of neck show signal void in both sides.

Bilateral submansibular and parotid gland and normal in MR morphology and signal intensity.

IMPRESSION

IL DEFINED HETEROGENEOUSLY ENHANCING SOFT TISSUE LESION INVOLVING POSTERIOR AND LATERAL WALLS OF THE PHARYNX MORE ON RIGHT SIDE WITH BILATERAL CERVICAL (LEVEL 1&2)WITH FEATURES AND EXTENSIONS AS DESCRIBED - NEOPLASTIC.
Adv: FNAC & histopathological correlation.

pls help me
Thu, 21 Aug 2014
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Pathologist and Microbiologist 's  Response
FNAC is the procedure where a fine needle (22G or 23G) is introduced in to the mass lesion and a very small amount of cells are aspirated for checking microscopically whether they are of cancer origin or benign (non-cancer). You need to go for this test ASAP to make sure they are not of cancer, for early diagnosis as you already have lymphadenopathy
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Can An Online Doctor Read MRI Scan?

FNAC is the procedure where a fine needle (22G or 23G) is introduced in to the mass lesion and a very small amount of cells are aspirated for checking microscopically whether they are of cancer origin or benign (non-cancer). You need to go for this test ASAP to make sure they are not of cancer, for early diagnosis as you already have lymphadenopathy