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What does this lab report mean? What is Mu condition?

following is a verified MRI report... please guide me what is mu condition.....

RADIOLOGY - ** Out Patient **
MR No:
Mr. Muhammad Uzair Qureshi
27 Yrs 5 Mnths 11 Days Male
Ordered By: Dr. Self
Age :
Service Code : MR37 - 0000 ID: 0698
Ordered On : 01/04/2013 @ 18:31
Arrived On : 01/04/2013 @ 18:32
Interpretation : 03/04/2013 @ 15:40
Verified On : 03/04/2013 @ 15:40
Transcribed by :Azhar ul Haq
Printed On : 05/04/2013 @ 23:31
Clinical Info: History of seminoma. Operated in Nov 2012. Now having left sciatica.
Multiplanar, multisequential, non-contrast MR study of lumbar spine.
Comparison is made with patient's previous MR study of the lumbar spine performed on 15 Sep,
There is interval development of multiple abnormal signal areas in the bodies of the T11, L1 and
S1 vertebrae which are hypointense on T1 and hyperintense on T2 and STIR sequences. Subtle
heterogeneity of the marrow is also noted in rest of the lumbar vertebral bodies. The abnormal
MR signal area in the T11 vertebral body is also extending posteriorly involving the pedicles and
epidural space with mild indentation of the thecal sac and conus medullaris. No definite fracture
or listhesis is noted. Degenerative changes at L4-5 and L5-S1 remain stable in interval. No new
disc abnormality has developed in interval. There is interval development of nodal masses in the
para aortic and para iliac regions with the largest measuring 2.9 cm in short axis.


Interval development of multiple lesions in T11, L1 and S1 vertebral bodies with subtle
heterogeneity of marrow in rest of the lumbar vertebral bodies as well, suggestive of metastatic
disease. Metastatic disease in T11 vertebral body is also extending posteriorly involving the
pedicles and epidural space with mild indentation of the thecal sac and the conus medullaris.
Interval development of para aortic and para iliac lymphadenopathy.Degenerative disc disease at
L4-5 and L5-S1 remain unchanged in interval. For evaluation of metastatic disease process in
cervicothoracic spine and pelvic region, further workup including bone scan is suggested
Asked On : Tue, 9 Apr 2013
Answers:  1 Views:  70
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Diseases and Conditions
Radiologist 's  Response

Seminoma is a malignant (cancerous) condition involving the testis.The usual treatment is operative removal of the tumor and chemotherapy after surgery.

However, this tumor can spread to other parts of the body (commonest to lymph nodes in the para-aortic region). Your MRI report indicated the development of new changes in the vertebra as well as para-aortic lymph nodes when compared to the previous scan. In most probability this could mean that the tumor has spread to other parts of the body. A bone scan (nuclear scintigraphy like PET scan) may help detect further spread to any other parts of the body like chest, brain, etc.

It would be advisable to meet your oncologist at the earliest to discuss treatment options. Most probably you would be advised another course of chemotherapy, probably with different drugs this time. Even, metastatic testicular tumors have a reasonably better prognosis when compared to some tumors in other parts of the body.

Answered: Wed, 24 Apr 2013
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