HomeAnswersRadiologypelvic mri

Can you interpret my MRI for lower abdominal pain and gas?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have left side lower abdominal pain and gas problem. I need a radiologist to interpret my MRI scan results. The laboratory tests performed was blood test in which CA 125 was elevated to 59.
Answered by Dr. Chitrangada Jitendra

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome to icliniq.com.

Your MRI (magnetic resonance imaging) pelvis reveals (attachment removed to protect patient identity) a well defined hypo-intense lesion in the right adnexa from which right ovary is seen separately, and is likely to be an endometrioma. It shows mild homogenous enhancement on postcontrast images. However, your CA 125 levels are slightly higher for endometriosis. The usual cut off value is 30, but in extensive endometriosis, the values may rise. It is not like a malignant lesion as no fat component, or large cystic area or invasion is seen. Also, CA 125 values go above 200 in malignant lesions.

If possible can you please upload other investigations that you have done. Any ultrasound of pelvis, any surgical history, AFP (alpha-fetoprotein) levels, if done. And also any past reports which can be relevant.

Patient's Query

Hello doctor,

There is no past history and I do not have a copy of the ultrasound.

Answered by Dr. Chitrangada Jitendra

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Do you at least have reports or transcripts?

Patient's Query

Hello doctor,

Please see the attached recent ultrasound report. I look forward to hearing from you with your replies to my enquiries in the thread above.

Answered by Dr. Chitrangada Jitendra

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I have seen your ultrasound report (attachment removed to protect patient identity). The right ovarian lesion they have mentioned as dermoid cyst. However, it is a benign pathology but if the pain is bothering you and affecting your everyday routine, I would recommend a surgical resection. Pelvis ultrasound and MRI in conjugation are a better modality for this diagnosis.

Patient's Query

Hello doctor,

The pain I have is on the left lower abdomen. It is not on the right side. Could this pain be related to the above including the gas I feel in my stomach? How do I treat these conditions? Are they best if left alone?

Answered by Dr. Chitrangada Jitendra

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

The pain that you have on the left side can be justified due to vascular etiology secondary to the mass effect of the right ovarian lesion. If you can get a pelvic doppler done, it can be diagnosed with that. However, if that is the cause, then again removal of the dermoid will relieve you from pain.

Medically reviewed by iCliniq medical review team
Published At March 27, 2018
Reviewed At June 18, 2024

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Chitrangada Jitendra
Dr. Chitrangada Jitendra

Radiology

Education:

MBBS

Professional Bio:

Dr. Chitrangada Jitendra is a Radiologist specializing in Radiodiagnostic techniques. She can do X-ray imaging interpretation and ultrasound diagnostics. She can do a CT (Computed Tomography) scan analysis, MRI (Magnetic Resonance Imaging) evaluation, and interventional radiology procedures. She can also do mammography screening and breast imaging. She performs Fluoroscopy-guided interventions and imaging for trauma and emergency care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Listen to related tracks in our music library

Related Questions

What is the reason for abdomen pain and poor appetite?

What are the signs of penile suspensory ligament injury?

Can a hemorrhagic cyst in the right ovary cause pain in the left pelvic area?

Why do I have pain during intercourse, spotting after, and burning on urination?

I have had this little bump on my stomach for a few years.What could this be?

The lump at the back of my head is painful when I have headaches. What is the cause?

Comprehensive Second Opinion

Read answers about:

pelvic mridermoid cyst

Ask your health query to a doctor online

Radiology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.