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* SIEMENS |.5T MRI SCAN WITH TIM + DOT * MULTISLICE SPIRAL CT SCAN. * HI-RESOLUTION ULTRA SONOGRAPHY * 3D & 4D DOPPLER SCAN * X-RAY DIGITAL MAMMOGRAPHY 13, Kasi Viswanathar North St., Kumbakonam-612 001. Tamilnadu. Ph : 0435-2402121. (M) 90473 70846 E-mail : arunscans@gmail.com see MRI NECK NAME: MR. AKBAR BATCHA AGE/SEX: 62/M DATE: 06/04/15 REF: BY: DR. S.RAVIMBBS,DLO., Technique: T1W, T2W and STIR Axial T2/STIR Coronal DWI Axial Fairly large illdefined irregular heterogeneous mixed intense soft tissue mass lesion seen involving left pyriform fossae , true and false left vocal cords with involvement of left arytenoid cartilage and obliterating the ary-epiglotic gap with supraglottic extension to the left glosso-epiglottic fold. Mass size measures GC 4.0x AP2.0x W 2.9cm. Nasopharynx appears normal. There is no. mucosal mass lesion seen. The retropharyngeal space and parapharyngeal space are normal. Jugular veins are normal, The parotid glands, submandibular glands and sublingual space are normal Tongue appears normal. Visualized oropharynx appears normal The thyroid glands appear normal. No significant cervical lymphadenopathy seen. CS5-C6 bock vertebra noted. ‘Severe spondylotic changes seen in the cervical spine. IMPRESSION: + Features suggestive of laryngeal malignancy involving left pyriform fossae and left vocal cord with supraglottic extension as described above. + No evidence of cartilage invasion or extra laryngeal spread or vascular involvement . + No significantly enlarged cervical lymphnodes. DRI, anowcuh, pn tte ahenrntr nara sein CANCER INSTITUTE (WIA) ADYAR - CHENNAI, PH-NO: 044-22360131, 044-22209150 HID | Cl01.15.00084076 Name Mr. AKBAR BASHA T K S ‘Old Reg No Age | Sex 62Year(s) / Male CIN Spouse Name | JANNATHKANI Category’ lane 1 income 25000 Mobile 9003606239 Local Address i NO 7/163 THIRUVANNATHAR Permanent COLONY,, PEERSHA NAGAR, Address. RAJAGIRI PO, Papanasam, Thanjavur, Tamil Nadu, India, 614207 Doctor Dr. Arun Kumar. M. CHIEF COMPLAINTS PREVIOUS INVESTIGATION HABITS: EXAMINATION DETAILS PROVISIONAL DIAGNOSIS TREATMENT PLAN sah 1N_, Radiation Oncology Date : 16-Apr-2015, 11:47 Pain during swallowing for 3 months) BS Hoarseness of voice for 1 month(s) 6 (On normal diet KX No comorbid Was Radiology Done is Gy) MRI Scan- Mass left PFF/Left VC/left arytenoid. < Ex-Alooholic 25 Year(s) G Ex-Smoker 40 Year(s) e Oral cavity- Partily dentufous. ee ‘Opx- NAD. x IDL- Fullness in the left PFF. Neck- No sig nodes. Condition of the patient , need for evaluation and decision explained to patient male attender. ‘Suspicious Malignancy-Hypopharynx- Condition explained to relatives. DLP poi [veadgansla (S) _ -Crighartd cappeos edoeceeteu : i Goran Ree Pe fend, 2xndey arto © rs (Bapy keten) Foth ve D mobile _ & preirewl ERO Cher reper [OG .42em (0) ae 1 ~~ Sa

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