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What Does This MRI Report Indicate?

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Posted on Tue, 5 Jul 2016
Question: I just received results of MR report (with and without contrast).

Here is what it said: apparent circumferential thickening in the mid rectum. May be related to contractions. Colonoscopy suggested to exclude any underlying mucosal lesions. Otherwise unremarkable findings of pelvic MR.

Question: can you interpet what this means. What are the likely causes? Is there a good chance that it may be cancer? I had a colonoscopy in Nov 2013 which came back normal.

No dimensions of thickening was provided.

I am attaching the full report. It is important to also note that I had a Pelvic MRI in mid November that came back normal. Here are both reports.

I also have the MR images. If helpful, I can send them too
doctor
Answered by Dr. Tayyab Malik (11 hours later)
Brief Answer:
MRI shows Mid Rectum Bowel Thickening. Need further evaluation.

Detailed Answer:
Hi.
thank you for posting query at HCM.

noted that you received your MRI reports which show thickening in the midrectum area of large bowel.

differentials for the finding include: inflammation, benign lesion, neoplasm, infection,or ischemic condition.

Risk Factors for malignancy include:
1. focal lesion
2. irregular lesion
3. NO or minimum fat srtranding
4. asymmetric, heterogenous
5. positive family history
6. history of rectal bleeding
7. positive history inflammatory bowel disease

if there is a "NO" through points 4 to 7, risk for malignancy is low.

points 1 to 4 requires colonoscopic examination +/- biopsy and negative results will rule out malignancy (cancer).

fix an appointment with gastroenterologist and follow up.

Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .

wish you good and sound health.

any further questions are welcomed.
you may rate answer and leave a review; if no further questions.

regards,
Dr Tayyab Malik
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Tayyab Malik

Gastroenterologist

Practicing since :2009

Answered : 819 Questions

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What Does This MRI Report Indicate?

Brief Answer: MRI shows Mid Rectum Bowel Thickening. Need further evaluation. Detailed Answer: Hi. thank you for posting query at HCM. noted that you received your MRI reports which show thickening in the midrectum area of large bowel. differentials for the finding include: inflammation, benign lesion, neoplasm, infection,or ischemic condition. Risk Factors for malignancy include: 1. focal lesion 2. irregular lesion 3. NO or minimum fat srtranding 4. asymmetric, heterogenous 5. positive family history 6. history of rectal bleeding 7. positive history inflammatory bowel disease if there is a "NO" through points 4 to 7, risk for malignancy is low. points 1 to 4 requires colonoscopic examination +/- biopsy and negative results will rule out malignancy (cancer). fix an appointment with gastroenterologist and follow up. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . wish you good and sound health. any further questions are welcomed. you may rate answer and leave a review; if no further questions. regards, Dr Tayyab Malik