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Opinion on MRI result
Sir/ma'am
I had swelling in left thigh region, underwent mri pelvis after consultation with surgeon in nearby centre. The Mri report has 2 issues which are as follows:
1) Linear signal intensity seen in midline anterior perineum at 6 O'clock near root of scrotum extending posteriorly reaching the external sphincter, not crossing levator ani muscle, no communication with prostate, penile bulb or urethra - S/o fistula in ano, length of fistula 88mm
2) Multiple Bilateral inguinal lymph node are seen. Size of largest is 17mm*7.8mm .
Is this something serious? Is lymph node swelling due to cancer? I am worried help.
Answers (5)
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lymph nodes may be due to fistula in ano .. nothing to worry as per mri report
Next Steps
consult
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Welcome and Good Afternoon
Your concern
1. Swelling in left Thigh region
2. MRI was done, MRI report has two issues
A. Fistula in Ano -- Length of fistula is 88 mm.
B. Multiple bilateral inguinal lymph nodes are
seen .....size of largest is 17 x7 mm.
3. Is this something serious.
4. Is lymph node selling due to cancer.
5. Worried about it
In response to reply of 3,4&5
See there are two issues one is Fistula in ano and other is enlargement of Inguinal lymph nodes.
This could be because of infection or some other disease or some other sinister cause.
THE CAUSES OF FISTULA IN ANO & LYMPH NODE ENLARGEMENT are varied from unknown to inflammatory diseases or to malignancy.
so final FNAC(Fine needle aspiration cytology) OF LYMPH NODES is required
Next Steps
Consult your surgeon and follow the instructions for diagnosis, investigations and management.
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Thanks and Regards
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Significant Inguinal lymphadenopathy with perineal foci of infection is common, nothing is suggestive of cancer in mri report
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Consult over call for further advice regarding evaluation and management
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Dr. A N M Owais Danish
Proctologist
7 yrs exp
Hyderabad
It is Fistula in ano and needs to be treated surgically. The lymphadenopathy is because of the localised infection in the fistula.
No evidence of cancer
Next Steps
Fistula in ano (surgical intervention)
Sitz bath three times daily
Health Tips
connect ofr better understanding and line of treatment
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Dr. Aditya Prasad Padhy
Urologist
11 yrs exp
Bhubaneswar
Fistula is there along with enlarged lymphadenopathy secondary to infection mostly, connect with a call for details discussion regarding the disease and it's management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.