My MRI Results with Dr. Olga Kalinkin\Dr. Hibner

[AliPasha1]

Reason for Exam:
PUDENDAL NEURALGIAMR Report
MRl Pelvis w Oct 26, 2010 0416:56 PM REASON FOR EXAM: PUDENDAL NEURALGIA TECHNIQUE: Multiplanar Tl and T2-weighted images pre-and postcontrast images of the pelvis were
obtained. 18 mL of multihance was administered intravenous I y COMP ARISON: MRl examination of the pelvis dated 0811612010 from Hospital for special surgery lvIRC. FINDINGS There is preserved fat plane surrounding the RIGHT pudendal nerve ill the intraligamentous space, in
the Alcock's canaL There is no perineural scarring or edema.
There is preserved fat plane surrounding the LEFT pudendal nerve in the intraligamentous space.
There is irregularity of the fat plane surrounding the LEFT pudendal nerve in the Alcock's canal.
There is small enhancing tissue surrounding the LEFT pudendal nerve in the proximal Alcock's canal
as best seen on series 13, image 157
LEFT pudendal nerve branch to the rectum and perineal branches are surrounding by slight
irregularity of the fat. There is irregularity and scarring at the intersection of the LEFT superficial transverse perineal muscle and LEFT ischiocavemous muscle along the course of the LEFT dorsal nerve of penis.
There is no single intensity asymmetry on the diffusion weighted imaging along the course of the pudendal nerve. There is no vessel asymmetry along the course of the pudendal nerve.
Sciatic nerve is symmetrical bilaterally.
Pelvic sidewall and pelvis floor musculature including levator an~ obturator intemus, piriformis
muscles are symmetrically without atrophy.
Pelvic osseous structures including iliac, sacral bones, sacroiliac joint and hip joints are unremarkable.
There is disc desiccation at L5-S1 level.
There is no groin, pelvic sidewall lymphadenopathy. There is no free fluid in the pelvis.
Bladder is unremarkable.
Prostate is normal in size. Seminal vesicles are symmetrical bilaterally. There are partially seen
small epididymal head cysts or spermatocele, Testes are not imaged completely.
Please note that evaluation of the bowel is limited on MRI examination.
IMPRESSION:
1 Mild irregularity and asymmetry of the fat plane with small amount of enhancing tissue along the
course of the LEFT pudendal nerve in the Alcock's canal Slight irregularity and asymmetry of the
fat along the course of the LEFT dorsal nerve of penis, Mild irregularity along the course ofthe
LEFT inferior rectal and peroneal pudendal nerve branches. These findings are not significantly
change since the prior examination 08116/2010. Correlate for clinical signs ofthe LEFT pudendal
neuralgia,
Dictated by Kalinkin MD, Olga R:.tdiologist
Attending: Kalinkin MD, Olga Radiologist
Signed by: Olga Kalinkin -Radiologist