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The document provides medical information regarding a patient named Mrs. Susheela, a 48-year-old female, who underwent various diagnostic imaging procedures at Anupama Hospital and MK Tesla Imaging & Diagnostics. The findings indicate a dilated appendix with irregular wall thickening, suggestive of a possible appendicular neoplasm, and significant lymphadenopathy. Additional imaging results show normal liver, pancreas, and kidneys, but highlight a soft tissue mass lesion in the hepatic flexure of the large bowel, warranting further investigation.

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0% found this document useful (0 votes)
7 views18 pages

PA

The document provides medical information regarding a patient named Mrs. Susheela, a 48-year-old female, who underwent various diagnostic imaging procedures at Anupama Hospital and MK Tesla Imaging & Diagnostics. The findings indicate a dilated appendix with irregular wall thickening, suggestive of a possible appendicular neoplasm, and significant lymphadenopathy. Additional imaging results show normal liver, pancreas, and kidneys, but highlight a soft tissue mass lesion in the hepatic flexure of the large bowel, warranting further investigation.

Uploaded by

susheela4598
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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SoTdO G3 AA ANUPAMA HOSPITAL

#72/3, CIIQ Road, BEL Layout, 2nd Phase, Near Karnataka Bank -College Bus Stop, Byadarahal, Magadi Main Road, Bengaluru-91.
Phone: 080-23488770, 29770770, Mob :9148827473. Email :[email protected]
Dr. PAVANKUMARP. Timings : Morning :9-00 am. to Evening :9.00 pm.
MD. General Medicine, Consultant Physiclan &Diabetologist KMC Reg. No: 95546

Name Sucheea Age : ....Sex MIF

VOmtchashcea

TTOsiXSSOl1F
oporola0tatell)

T Rabicpo

TOycopam
{Facilities Available
24X7 1.C.U, EMERGENCIES, CASUALTY, LASER SURGERIES, LAPROSCOPIC SURGERIES, DIALYSIS, GENERAL MEDIGINE
PAEDIATRICS, JOINT REPLACEMENT, CANCER, HEAD INJURIES, 0BSTESTRICS &GYNAECOLOGY, UROLOGY
(KIDNEY STONES), PILES, FISTULA, HEMORRHOIDS, APPENDICITIS, HERNIA, SKIN, ENT, COSMETIC DENTAL CANE
DIGITAL X-RAY (CR), ULTRA SOUND SCAN, DOPPLER STUDIES, 2D ECHO, PHARMACY &DIAGNOSTICS.
MCH Charitable Hospital
Manav

Jindal Nagar, Tumkur Road,


Bangalore-560 073.
Ph: 23712175

(OPD & IPD)


UHID
NAME MO0000472135
SUSHEELA
W.o : RANGASWAMY
ACDDRESS HG HALLI
ACGE 48
SE:X
REG DATE
FEMALE
20/12/2023
CATEGORY GENI
PAT ID CN113824202314J2
9. 8. 5

rdea,
erta
oog
GOd

wtctlomu

-
MI
TESLA
IMAGING &
DIAGNOSTICS

Mrs. SUSHEELA REGLAB NO 24010760 / 16447


Nae
AGE SEX DATE OF COLLECTION 09-01-2024 at 09 44 AM
48 Yrs / Female
DATE OF REPORt 09-01-2024 at 01 40 PM
REFERRED BY Dr. ANUPAMA HOSPITAL
BILL NO 016447

CI SCAN

CECT OFABDOMEN AND PELVIS


Serial axial sections of abdomen and pelvis from domes of diaphragm to bladder base done before and after
Il cottrast
FINDINGS:
BOWEL LoOPS: Appendix is seen poste ileal in position is dilated in diameter measures 4ems at base.
2.8cmts at mid segment and 2.6cms at distal tip with irregular enhancing wall thickening resulting
pseudo-mass like appearance in base region with maximum single wall thickness of 2.0cms and multiple
small calcific foci of 2-4mm in size.
The cecal wall adjacent to base of appendix shows diffuse cireumferential enhancing wall thickening with
masimum thickening ofr 2.8ems extending for a length of about Sems.Mild adjacent fat stranding seen
adjacent to cecal Wall thickening.
Few enlarged adjacent mesenteric locoregional nodes seen adjacent to cecun largest

meastiring 1.2xl.0cms.
Rest of large bowel and small loops, stomach and duodenum is normal.
LIVER: Appear normal in size and density. Intrahepatic biliary and portal radicles appear normal. No
Bidence of diffuse / focal lesion. Portal vein appear normal. Porta hepatis appear normal. No evidence of
peripirtal lymphadenopathy.
GAL0! BILADDER: Appear normal in contour and wall thickness. No evidence of mass lesion.
SPLEEN: Appear normal in size and density. No evidence of mass lesion.
PANREAS: Appear nonal in size, contour and density. Main pancreatic duct is not dlated. No evidence of
calcutos /calcitication.
BOTH ADRENAL GLANDS: Appear normal in size. shape and density. No evidence of nass lesion.
BOTH KIDNEYS: Appear nornal in shape. position and density. Pelvicalyceal system is not dilated. No
CVidence of calculus, Renal sinus appear normal. Perirenal and pararenal spaces appear normal. Gerota's fuscia
arpet normal.
Page 1 of 2

MK TESLA IMAGING & DIAGNOSTICS


&82:11. Griked Flogt, Yogesh Comples, Anjananagar. #1st Flear, 3CHA Arcade EH Ad Naar Anyaneya Iemple
Magadi Matuad, Bengaluru 560 091 Subhash Nagar, Nelamangala Town, Karnataka 56212:
Mob:91 9$200 09012, 91 96200 09013 Mob: 91 96200 44194, 91 96200 44195
EMal irhktelamagadiroadfgal.com EMail ktesladiagrastics@gnalcon
AIMAGING &
TESLA DIAGNOSTICS
REGLAB NO 24010760 / 16447
Mrs. SUSHEELA
tian DATE OF COLLECTION
AGE SE X 48 Yrs / Female 09-01-2024 at 09 44 AM
DATE OF REPORT 09-01-2024 at 01 40 PM
REEERRED BY Dr. ANUPAMA HOSPITAL
BILL NO 016447

I.Ix3cms with no
A e) defined hvpodense non-enhancig cvst seen in right lower pole measuring
septatjon/ coalification.
Similar cyst measuring 6x5mm seen in left lower pole.
AORTA AND IVC: Appear normal. No evidence of pre/paraaortic para caval lymphadenopathy,
RINARI BLADDER: Appear noral in contour and wall thickness
terus & Ovaries; are normal in size and morphology for age No focal lesion is noted.
Minimal free fluid seen in POD. VIsual1zed lung bases appear normal.
VIsuabzed bony pelvis, lumbar spine, abdominal wall & gluteal muscles appear normal.

IMPRESSION:

Appendix is seen poste ileal in position is dilated in diameter (measures 4cms at base.2.8ems at mid
segment and 2.6cms at distal tip) with irregular enhancing wal thickening resulting pseudo-mass like
appearance in base region and multiple small calcilic foci of 2-4mm in size.
* The cecal wall adjacent to base of appendix shows diffuse circumferential enhancing wall
thickening with maximum thickening of 2.8cms extending for a length of about Scms,Mild adjacent fat
stranding seen adjacent to cecal wall thickening.
Few enlarged adjacent nesenteric locoregional nodes seen adjacent to cecum.
In vËes of above findings possibility of appendicular neoplasm with cecal infiltration to be considered
suggested Colonoscopy and HPE correlation.
Bilateral simple renal evsts (Bosniak tvpe I)
Partereas and spleen is normal.

**** Eng of Report **** Prrted by DTHA gn c

Dr. MADHUKAR V Dr. KUMAR B N


MBBS, MD M9BS MDLJIPMERI
oNSULTANT RADIOLOGIST CONSUL TAtNT RAD0LCGIST

Paje 2 of

MK TESLA IMAGING & DIAGNOSTICS


21st lcor 3CHA Arca Bh Rg Nuat Anyaneya Termgla
prdilaot, Yogesh Corrplex, Anjananaga,
da Vahcas. Bengaluru 550 091 hashNouar, 91Nla.t
Sthas ala Town karnataka 56212:
S200 09012. 91 96200 09013 Mob 962044194 91 952 00 44195
Masl kti amagad1road@gmail. com EMal snateslad1aznastics@gmal co
ONST o A ANUPAMA HOSPITAL
#72/3, Cll IQ Road, BEL-Layout, 2nd Phase, Near
Karnataka Bank - College Bus Stop, Byadarahalli, Magadi Main Road,
Bengaluru-91.
Phone :080-23488770, 29770770. Mob : 9148827473. Email : anupamahospital261115@gnl

NAME: Mrs. Susheela AGE: 48 Yrs SEX : Female

REF BY: Dr. DATE: 08/01/2024


Pavankumar P Thanks for the Referral

ULTRASOUND ABDOMEN AND PELVIS


LIVER: The visualized liver is uniform echotexture without evidenceof focal lesions. There
is no intra or extrahepatic biliary ductal dilatation. The common bile duct measures mm,
which is normal for age.
GB: The gallbladder is physiologically distended with clear contents. The gallbladder wallis
normal measuring 2mm. There is no pericholecystic fluid.
PANCREAS: Head, body and visualized tail of pancreas are normal in size and echotexture
without evidence of focal lesions. Main pancreatic duct is not dilated. Peripancreatic fat
planes are normal.
SPLEEN: The visualized spleen is of normal sized with uniform echotexture without
evidence of focal lesions. Splenic vein at hilum isnormal.
echotexture
KIDNEYS: Both kidneys are normal in size,shape, position and axis with normal
maintained.
without evidence of focal lesions. Corticomedullary differentiation is well
Pelvicalyceal system is not dilated. No calculi seen.
contour without
URINARY BLADDER: Urinary bladder is well distended with normal diverticulum.
evidence of focal lesions. Normal in wall thickness. No evidence of calculi or
UTERUS &OVARIES: Atrophic, normal for age.
hepatic
Ill-defined soft tissue mass lesion measuring 92x66x70mm seen along the
thickening, edema.
flexure, shows solid & cystic components, perilesional omental 18x16mm, shows
Mild vascularity seen. Multiple lymnphnodes seen, largest measures
necrosis.

IMPRESSION:
FLEXURE OF LARGE
SOFT TISSUE MASS LESION ARISING FROM HEPATIC
BOWEL/ JEJUNAL LOOPS Suggested CECT Abd & Pel correlation.
SIGNIFICANT LYMPHADENOPATHY.

Dy. Gauham Muthu


MBRS, MD (RD)
Consultant Radiologist

(Facilities Available
24X7 1.CU, EMERGENCIES,CASUALTY, LASER SURGERIES, LAPROSCOPICSURGERIES, DIALYSIS, GENERAL MEDICINE
PAEDIATRICS, JOINT REPLACEMENT, CANCER, HEAD INJURIES, OBSTESTRICS & GYNAECOLOGY, UROLOGY
(KIDNEY STONES), PILES,FISTULA, HEMORRHOIDS, APPENDICITIS, HERNIA, SKIN, ENT, COSMETIC DENTAL CARE,
DIGITAL X-RAY (CR),ULTRA SOUND SCAN, DOPPLER STUDIES, 2DECHO, PHARMACY &DIAGNOSTICS.

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