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NAME OF PATIENT: BABY. VAMISINGIT AGE: 16 MONE REFERRED BY: DI. SANIAY SEN DATE -O1/N82023 l MRI ORBIT - (PRE AND POST CONTRAST } - SCANNING PRoTOcoT is Oone in 3 Tesia Scanner using TI ang Te W images in axtal, coroaot and sagitel wrest scanning is dave after ineeing GD and scqy tion of Images in mutiptonar REPORT SHhere |S well Camarcaied mass leston of slightly lyeqular margin show!ng Glteted signat intensily seen la the inferoraterai pat of the left oF! displacing the eyeglobe medially and superlory. itis seen Indenting upon * eyeglcbe without any Invasion Into It, There Is compression of the lateral rectus muscle seen. The inferior rectus muscle Is lying ct the Perlpherel part of the mass. The mass Is appeating Isointense to the exttceccular muscles on 11 W images and hypointense on 2 W Images. It 1s showing heterogeneous signal intensity. Post contrasi scan shows intense enhancement of the mass, lz of the mass Is 24 x 22 mm. it is showing diffusion restriction and low ADG value. These Is no bony Invasion seen, orbit is normal. The *-The intra and extracenol compartment of Fetrobu:bar fat is of normal signal intensity pattem. *-The eyegicbes are of normal signal intensity and contour. The anterior and posterior chamber: of the eyegtobes are normal, The lens is of normal in signal intensity. Optc nerves are of normal signal intensily. They are normal in course cnd wallvet. Optic nerve head is normaily seen, *-Remoining extiaeculor muscles cre of normal in signal Intensity, There is no evidence of abnormal enlargement seen. *.No sella and parosellar mass is seen. Pituitary gland is nomad in signal intensity. =the exbiial walls ore of norma! signal Intensity, There is no Iytic er sclerotic lesion seen. PIO. THANKS FOR THEREFERECE, ining NCLY LETUS KNOW THE FOUL ear knsnde OW UP OF THE PATIENT Bs, nate et Sune aa A (AUNIT OF HARI KANCHAR MEDIDIAGHOSTIC PVT 170) oars!) 2527980 Seen In ner vo ron MeoTo CEH uRrasE NAME OF PATI ENT: BABY, VAN SINGH REFERRED DY: Oy Mi We MONE HALL -o1yanny “MRI o&BIT~ (PRE AND Post corrrast) | WPRESSHNS: FINDINGS ARE SUGGESTIVE OF. + WELL DEMARCATED RETROBULDAR MASS LESION IN THE LEFT ORBIT ‘WITH SASS SHOWING NOINTENSE SIGHAL ON TL AND 12 WW IMSAGES WING INFERO-LATERAL TO THE LEFT EVEGLOBE WITH PROPIOSIS OF {RFT EYE AND MASS SEEN PRESSING THE EXIRA-OCCULAR MUSCLE (1 AIR) WITH NO INVASION INTO THE EYEGLOBE - SUGGESTIVE OF NEOPLASTIC PATHOLOGY - 7 FRABDOMYOSARCOM, DRARCHTGUPIA —ORMEINAKSHIGOYAL oR, say gulag CONS RADIOLOGIST CONS, RADIOLOGIST Cons, exblOL0g Toes foamereranee arenes tu ntaairy eenmcruser te {eran es resp tem FORUOIL® OF HE ENENT UT OF MAtAOKOULRRED DEELEY: Er) NecT CHEST Nox-contrast CT of clost performed using helical sections of 5 mm thlaknoos tal-en thoracic inlet to domes of diaphragm level. EINDINGS: ‘The lung parenchyma shows normal bronchovasculer pattem. No definite focal parenchymal lesion oF area of altered density is Bpparent, at present. Trachea is central in position and shows normal bifureation. Carina! angle is maintained, Main-stem bronchi appear normal. No significant mediastinal lymphadenopathy is evident. Cardiac size appears siorma!. No medinstinal stiftis noted No pleural or pericardial effusion is apparent. Bony thoracic cage is norma Azygo-cesophageal recess and aorte-pulmonary window are normet. Note Is made of mitd fuslon at the anterior end of right 4” and 6" ribs, IMPRESSION: CT FINDINGS REVEAL NO SIGNIFICANT ABNORMALITY Please correlate clinically. Dr. SANDEEPAIOA HOD Rediotey BBS, MD epingn sosneeda tbs corelted xDY ctncathity enactner nevantnvstigcon bor taat apne Th ata gr oeepectn yb C20 tps ear heen pea card wn yf) tianicansi PeOMy eta eT SLD aD ements CLs cu) Reve amin be es racAUTRec Eee. io CHat WTA rset cali iiJ¢ PyreTeliuahed folly fd MODERN aA FARO FWA sone doatnmmneig wopmoripin Sot { | M4 ‘ A renga Crtecentat cll rapt ohains Petatuaty LFTBMACY: | 91 wore tant munnrip i sormt within dors conga: OF | years ant sea norenatin meraRenegy. Fivtatet pata Homans wee whens asp eveaiia eae seen |Pomerepelire _ OO ata tre, tonpanle Coates + wert vant Trpeotean® raeesergt ib lat bi als Ria Ges Histopathology Report Ocular Pathology Rajendra Prasad Centre for Opthalmie Sciences All India institute of Medical $ Ansari Nagar, New Dethi- 1100: Dr. neces India 9] Name of the Patient: Other Yami Singh Lab Reference No. : 23-1158 Age: 1 Years Female Received on: 16/8/2023 UID No. 106911861 Date of Report : 5/9/2023 Unit Incharge : Prof. Baja Ward IB Bed No, : 138 el ad Nature of Material ~~ Mass Submitted Report : Left upper lid mass shows a diffuse round cell tumour with hyalinization. Numerous hyalinized blood vessels are also identified. IIIC stains are positive for BCOR, ive of Sarcoma with BCOR genetic alterations (WHO ication). Reported By Consultan “Health Square Wellness / Diagnostics INGH [Patient Name: YAMI SI YRSIF NCCT CHEST Non-contrast CT of chest performed using helical sections of § mm thickness taken from mraracie infet fo domes of diaphragm” lovol FINDING! mal nchovascular pattern. No definite focal parenchy present. bifurcation. Carinal an ‘The lung parenchyma shows, normal bro! ity is apparent. at Jesion or area of altered denst gle is maintained. central in position and shows normal bronchi appear normal ‘astinal lymphadenop: al. NO mediastinal st Trachea is Main-stem athy is evident. No significant medi pitt is noted ac size appears norm tio pleural or pericardial effusion is apparent Bony thoracic cage IS normal. ‘azygo-oesopnagea! recess a d fusion at the Note is made of mil correlate clinically: Please wathrarent afragra artsy HEU Ted Hay ores (ey a a ghia creas oh Fae -110029 lospital Ail India Institute LABORATORY ONCOLOGY . Dr B.RA. Institute Rotary Cancer Hospital All Ind ‘of Medical Sciences , New Delhi-110029 UHID: 106970856 Rog Date: 28/08/2023 11:32 AM T lame : Mrs YAMI SINGH = Fert Age: + year 8 months 28 days Depaninent: Mesea Oncology Uni Name unt Unit incrage sample Collection Dato: 27092029 1199.4 tap Name Lab Oncoogy Lab Sub Contre: {se oncology RCH) Sample Reohed Bate: 2120290254PM —_—Repon Generate Date: 280920090423 Dentro Ne 3oar31 Recommended By: or Sushant Ch + LOl-210923068-BP (Bone Marrow) Sample Detail: BMA BMT PS Report: Cellular bone marrow preparation shows haematopoietic cells of all series (M:E=2.5:1). There Is no morphological evidence of metastasis on the smears examined, Ph rE Adviee : Correlate with bone marrow biopsy Senior Resident : Dr. Gaddam Pranitha. Consultant Dr Sanjeev K Gupta This isan electronically generated report authorized signature Is not required. The test re Partial reproduction of the reporils not permitted. rea Metimpons have beon suthenticated, Authorized Signatory CANCER HOSPITAL & RESEARCH INSTITUTE RECIONRL CANCER CENTER TOM RESCANCH & THEATEN Cancer Hal Geraior 6? >) ed Broo 0781-2396502 03.08 08 4 pocnra ores EMEC EASR ESTEE ora cumipocst [s Gu Age Date DIAN uno vio | 2viF mie YAM 169 ent Td Referring Doctor jaz ANIL SHARMA $+; PET-CT sean p case of left eye RMS, po ent of dis jus and rests ematherapy Brief clinical history status. PET-CT is b 2 done for assess lininiswration of apps. 4&5 mCi of Anine 1.5 Procedure:Approximately 60 after intravenou i ("F] 2-fluore-2-deoxy-D-glucose (F-FDG), contrast enhanced CT (scram er meidl.) was oblained ina whole-body PET-CT scanner trom the vertex to mist-thigh, Oral contrast administered for bowel opacification prior to the scan. Whole body PRG PET emission scans were acquired over the same anatomical regions. Blood ghicose level at the time of FDG injection was 140 mgidl. FINDIN’ Mead ec ob No olvinns FDG avid lesion could be seen in retariow to the left orbital cavity (likely morphologic aud metihelic resolition af the tesion). Bath globes are synmetricatly placed in the orbital cavities, appear normal in morphology with ne significant FRG avid lesien, The bony orbital walls appear largely waremarkabl ob No significant ea! uprackivicular adenopatiiy noted by siz sb Focal FDG avidity noted int the left tonsill sonal ike s+ No focal lesion with abnonmal FOG uplake is nvoly hypopharyax or larynx. 1 metabo! teria. is pecifievinflanimatory ig nasopharynx, oropharyns, c seen thyroid gland appears sharply demarcated and shows homogeneous pattern on CT sean. No abnormal FDG uptaks the thyroid parenchym: ab The visualized sections of the brain show no obs ious focal FIG avid lesion. Ch “L No significant axillary, mediastinal adenopathy noted by size or metabolic criteria, + No abnormal FDG uptake or lesions‘nodut in ++ No pleural or pericardial eftission seen. } Mediastinal structures viz, trachea and oesophagus appear Largely unremarkable, & Physiological FIG uptake is seen in the myocardium, 7 1 in bilateral hung parenchyma, ‘Thi uieree of songs’ di Marreconciunive patholog POUL Dated On the eterpeetabon ol vat cus shadows produced by both ermal h abnermal misues and fe no! adhological enrtgation and cin cx! carrelation requited to enable the cima 19 Hach Ihe NesbeaENOR TR ean ye AY Sela va Bear SPST TTT Bl HOSPITAL IS RECOGNIZED UNDER INCOWE TAX ACT: 8G FOR DONATION CANCER HOSPITAL & RESEARCH INSTITUTE Jf, PEGIONAL CANCLW CINTER Fos RESEARCH A TRAt ENT Carer Kitt, Gweator Ut Prone 075%-23°6502,03.04.05 eS 2 VID Grarnoc's7 cunt es 2ort Pea ee eee Normal distribution of the radiotracer within the genitourinary « + No signiti 4 Liver apy gastrointestinal and bdominopelvic adenopathy noted by size or metabolic criteria Pears normal ia size, No absious DG avid lesion could be noted in the hepatie parenchyma The galibtadder, pancreas, and spleen appear unzem ‘There are no adrenal nodules. bee tteral adnexay appear un @ ‘The calilve of the abdominal aana ix normal Museu are noted in Wie visualized skeleton, + There are no suspicious hypermetabolie osteoly IMPRESSION: PET-CT findings are sugee “No obvious metabolic active lesion seen in relation to the left orb suggest residual/recurrent dis ie or psteasclerotic lesions. eof: tal cavity te ot No definite evidence of nretatol tive disease mated in rest af the body. 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