More from the MRI apparently
My doc told me about the seminal vesicle (insert bad joke here) - but apparently this last piece of the MRI never got posted. And I can tell you the right iliac crest is killin me today. (true fact though I had to google half this crap again). My orginial doc does not believe the large lumpkin is a lymph because it creepily soft and floating which is not the way a lymph will be. Hope the get it out and biopsy soooooooon.
EXAMINATION: MRI PELVIS W WO CONTRAST
CLINICAL HISTORY: R22.40 Localized swelling mass and lump unspecified lower limb, To evaluate soft tissue mass
TECHNIQUE: Multiplanar multisequence MR images of the pelvis were obtained pre- and post intravenous administration of Gadolinium.
COMPARISON: No prior
IMPRESSION:
1. Extensive osseous metastatic disease of the pelvis, sacrum and proximal femurs is noted. There is a large lesion in the anterior right iliac crest with large soft tissue component.
2. Enlarged inguinal lymph nodes the largest of which measures approximately 4 cm in the right inguinal region. These would be easily amenable to percutaneous ultrasound-guided biopsy.
3. No pathologic fracture. Asymmetric fullness of the left seminal vesicle. This could represent a metastatic lesion or possibly rare primary malignancy of the seminal vesicle. Enlarged pelvic sidewall lymph nodes. Slightly enlarged right perirectal
lymph node.
EXAMINATION: MRI PELVIS W WO CONTRAST
CLINICAL HISTORY: R22.40 Localized swelling mass and lump unspecified lower limb, To evaluate soft tissue mass
TECHNIQUE: Multiplanar multisequence MR images of the pelvis were obtained pre- and post intravenous administration of Gadolinium.
COMPARISON: No prior
IMPRESSION:
1. Extensive osseous metastatic disease of the pelvis, sacrum and proximal femurs is noted. There is a large lesion in the anterior right iliac crest with large soft tissue component.
2. Enlarged inguinal lymph nodes the largest of which measures approximately 4 cm in the right inguinal region. These would be easily amenable to percutaneous ultrasound-guided biopsy.
3. No pathologic fracture. Asymmetric fullness of the left seminal vesicle. This could represent a metastatic lesion or possibly rare primary malignancy of the seminal vesicle. Enlarged pelvic sidewall lymph nodes. Slightly enlarged right perirectal
lymph node.
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