Self Instructional Manual for Cancer Registrars - SEER - National ...

EXAMPLE
El5
MAGNETIC RESONANCE IMAGING
Patient ID: 123456 Patient Name: Henry_ O'Hara Age: 30 Race: White
REFERRING PHYSICIAN: Osay Canusee
REPORT: MRI NECK AND LARYNX
INDICATION FOR EXAM: Primary laryngeal carcinoma with adenopathy
PROCEDURE: The following sequences were obtained:
FINDINGS:
1) Sagittal MPGR TR:500 TE:25 4 mm intervals
2) Sagittal PS TR:500 TE:20 5 mm intervals
3) Coronal PS TR:500 TE:20 4 mm intervals
4) Axial PS TR:400 TE:20 8 mm intervals
5) Axial SE TR:2000 TE:20/60 5 mm intervals.
There is enlargement of the base of the right aryepiglottic fold which represents the
patient's primary tumor. There is otherwise no evidence for primary laryngeal tumor.
The thyroid cartilage is normal as are the arytenoids. The true and false cords are
normal in appearance. The remainder of the larynx is unremarkable in appearance.
Unfortunately the coronal images are marred by a moderate degree of motion artifact
associated with swallowing. There is an enlarged right cervical lymph node measuring
2.5 x 2.5 x 3 cm in size. It is closely adherent to the right sternocleidomastoid muscle
as well as the right neurovascular bundle. No additional cervical lymph nodes are
identified. There is otherwise no evidence for tumor extension into the perilaryngeal
soft tissues. The remainder of the examination is unremarkable in appearance.
IMPRESSION:
1. Asymmetric thickening of the base of the right aryepiglottic fold
representing the patient's primary tumor. Otherwise normal appearance of
the larynx.
2. 2.5 x 2.5 x 3 cm right cervical lymph node with extension into the right
sternocleidomastoid muscle and the right neurovascular sheath as described.
Date: 12/10/91
MRI
REPORT
89