Normal Male Pelvis MRI Report Template (Non-Prostate Protocol)

EXAMINATION: MRI of the pelvis [with and without / without]
intravenous contrast.

CLINICAL HISTORY: [indication, e.g. “Chronic pelvic pain, evaluate
for pelvic mass” / “Perianal fistula, pre-operative mapping” /
“Pelvic soft tissue mass seen on ultrasound”]

COMPARISON: None available.

TECHNIQUE: Multiplanar, multisequence MRI of the pelvis from the
iliac crests to the perineum on a [1.5T / 3T] system, including
axial and coronal T1-weighted, axial, coronal and sagittal
T2-weighted, axial diffusion-weighted imaging with ADC map and axial
fat-suppressed T2-weighted sequences. [Following the administration
of x mL of gadolinium-based contrast, dynamic and delayed axial
fat-suppressed T1-weighted images were obtained.] [Oblique axial and
coronal planes were angled to the anal canal.]

FINDINGS:
Bladder: Moderately distended with a normal wall thickness. No wall
thickening, filling defect or diverticulum. The distal ureters and
ureterovesical junctions are unremarkable.
Prostate and seminal vesicles: The prostate is normal in size,
measuring approximately [x] x [x] x [x] cm (volume [x] mL), with a
normal zonal anatomy and no focal signal abnormality on this
non-dedicated protocol. The seminal vesicles are symmetric with
normal T2 signal. No periprostatic or ejaculatory duct abnormality.
Rectum and anal canal: Normal wall thickness and signal of the
rectum and anal canal. The internal and external anal sphincters and
the levator ani are intact. No perianal or perirectal fistula,
abscess or inflammatory change in the ischioanal fossae. No
mesorectal mass or lymphadenopathy.
Lymph nodes: No enlarged pelvic lymph node. The visible external and
internal iliac, obturator, presacral and inguinal nodes are normal
in size (short axis under 1 cm) and morphology.
Peritoneum and pelvic soft tissues: No free fluid, peritoneal
nodularity or soft tissue mass. Normal pelvic sidewall musculature.
Vasculature: Normal flow voids in the iliac vessels. No pelvic
venous varices.
Osseous pelvis and hips: Normal marrow signal throughout the pelvis,
sacrum and proximal femora. No fracture, focal lesion or sacroiliac
joint abnormality. The hip joints are congruent without effusion.
Groins and perineum: No inguinal hernia or scrotal extension of
pathology on the included images. Normal perineal soft tissues.
Abdominal wall and musculature: Unremarkable.
Enhancement: [No abnormal enhancement.]

IMPRESSION:
1. Normal MRI of the male pelvis. No pelvic mass, inflammatory
process or lymphadenopathy.
2. [No perianal fistula or abscess.]

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