F1 8- FD G WHOLE BODY PE

T CT SCAN
p,4TifNT ID : 92032
PATHAN RASHID A. SCA N DATE : 2011212023
NAME: REPORT DATE : 20/ 12/2 0 23
Rff. BY : INDRAYANI HOSPITAL & CAN
CER INSTITUTE
-- ---------- Age : 35 Yea rs SE X : Male
----------
Purpos
Cl nonehea
: lin· g u1cer , pai• -----
O n an d sw eII·ing ng
• ht buccal ( I I
mucosa; CT 8 7 2S )- Ies1•on •
:V ucosa on rig ht sid e S7 xl 7m m;
Squamous cell car cin om a; No
; lb node; po st composite res
LVE; PN I seen; ma rgi ns free
ect ion + MR ND +P MM C; HP
1nvoIv1n
; 1/s 2 nodes; Po st CT RT (5/
• g the b ucc al
R( 20 /07 /2s )-
disease sta tus evaluation. 10 /2s ); for
-..
Method:
Whole body CT sca n wa s per
~I for me d fol low ing neg ati ve ora
6 _5 mC i-F I8- FD G- (flu oro deo xyg luc ose ) wa s
l con tra st adm ini str ati on.
after 60 minutes usi ng TO F-L adm ini ste red IV and wh ole bo dy im age s we
SO bas ed Bio gra ph Ho riz on re acq uir ed
axial, coronal and sag itta l pla sys tem . Im age s we re rec on str
nes . Blo od sug ar- 78 mg /dl . uct ed in the
We igh t- 8S Kg.
findings:
FDG avid thi ck en ing at res ect
ed ma rgi n of mandible 12 x
Uptake at po ste rio r ma rgi n 7 mm (8. 42) .
of PM MC flap- 9 mm (6. 81}
upto cutaneous ulc era tio n. ; 11 x so mm (5. 58 )-w ith lin ear
up tak e
Diffuse uptake in rec on str uc
ted bu cca l mu cos a (4.5 5).
Left cervical no de s- lb 8 mm
(2. 72) ; lef t lev el II no de
Calcific· nodules rig ht lun g- 8 mm (2. 07 ).
mi dd le lob e 5 mm; upper lob
Tiny bilateral ren al cal cu e 2 mm - inf lam ma tor y.
li no ted .
FDG avid lyt ic les ion in LS
ver teb ra {10 .37 ). Le ft pa rav
(8.8 4). ert eb ral so ft tis su e ab utt ing
lef t ps oa s
Physiological uptake in bra in pre
cludes detailed evaluation of int
rac ere bra l lesions.
'
Comments :
Operated for squamous cell
carcinoma of right buccal mu
(oct 2023); study shows- cosa (july 2023); post CT RT
FDG avid thickening at resecte
d margin of mandible- FDG
margin of PMMC flap- needs uptake along posterior
clinical evaluation.
Weakly metabolic contr te
ral neck nodes- reactive.
FDG avid lytic lesfon i L ve
rtebra is likely metastatic-
No FDG avid lesion elsew needs histolog .
here. ,Y-
.

• Zli, S ~ Sauate
MBBS, MD
int in Nuclear Medicine ~B M. 0., ORM, FANMB
Consultant Radi •
Consultant lncharge
~- jZ)41taut So/au, • Zli.
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-- =- --Co-~ nsultant
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MB BS , OR M, ON B
avdhan BK, Near M~ ntn A 1..,.; __ "·• •
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•~..AAYANI HOSPITAL & CANCER""vn-:'"'"
./ tN'1n tun: LAS
Department of Pathology R • ,
- eport 1l 1111111111111
Patirnt Name : i\1r Rashid \ · p l.AB-R
• • ' mar atban
Ref. By Dr Sbrika ot Ankolikar A~r : 35
Sample- Collec ted: Yr~
14/0712023 Sex
Report Released : Male
20/0712023 UHID No.: 29849
IMPRF.SSION • R" h b. ----- -----
•~ t ate Compo site resectio----- ----- ----- ----- ----
n specimen .
Moderate.h• Differcnti 3 t-'"' S
PT 2 S
. cm.• '-"U • quamous Cell Carcin oma of
lefe buccal mu'-'o~,
Depth of infiltra tion 1.5 cm.
Tumor infiltra tes the underlying muscle .
The underl yin~ mandi bular bone is unrema rkable.
LymphovascuJ~r cmboli not seen.
Pcrinc ural in\'.asion seen.

Margins
: The carcin oma is close to ( 0.5 cm away) the posterior mucosa
l margin and
is free of tumor.
All other cut margin s, base and the bony cut ma~in are free of
tumor.

Lymph nodes Mcfasl asis 1 out 32 level I to V lymph nodes. ( 1/32 )

Extrnnodal spread not seen.
Lesion on tongue - unrema rkable.

fNM staging T3 NI

Consulting Pathologb,t
Dr. Manish T. f\k~rc
!\'ID (Pathology)
RC1!d. No. 8i297

• 412105
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•

DR1 HIJI
ANANCENTRES
MEDICAL

Name
RASIIID PATHAN Age 040 Y-M
40Y /M
-
Date 12/02/2024 Pati ent 022412017
Id
Ref erri ng DR.S.CHIRAG Ana nd Rishiji medical cent er
Cen ter
Doctor pun e

E WI TH WHOLE SPINE
CE MR I LUMBO-SACRAL SPIN
SCREENING

PR OT OC OL
Iumbosacral spine "'as per f0nnerl
lvfultiplanar and multi-echo MR I of the
trast.
with administration of intravenous con

FINDINGS
spine.
There is mild straightening of lumbar
olving L3 vertebral body with
There is compression fracture seen inv
olving the marrow predominantly
associated diffuse abnormal signal inv
and FLAIR hyperintensity
hypointense on T2WI and foci of T2
terior margin causing moderate
within with associated convexity of pos
ter of the spinal canal at the level of
spinal canal stenosis. The AP diame
is associated peripherally
L3 vertebral body is 8.8 mm. There

I
 ANANDRI
MEDICAL CENTRESHIJI

enhancing soft tissue m . •

. easunng 10 mm in thickness on right and 12
mm in thickness on I ft I . •
e • t extends contiguously along the left psoas
muscle forming pe • h
rip erally enhancing collection suggesting abscess
measuring 4.4 x 2.4 x 7 cm in size. There is associated prevertebral soft
tissue measuring 7 mm in thickness. It also shows minimal epidural
extension. The collection appears hypointense on ·Tl WI and T2WI and
shows peripheral post-contrast enhancement.

The rest of vertebrae appear normal in height, signal intensity and show
normal alignment. No osseous destruction noted.

The signal from the marrow of the visualized vertebrae is normal.

The visualized spinal cord shows normal MR morphology and signal

characteristics.

Disc Spaces:
Ll-L2: There is no evidence of disc disease or protrusion, central canal
stenosis, or neural foraminal narrowing.
L2-L3: There is no evidence of disc disease or protrusion, central canal
stenosis, or neural foraminal narrowing.
L3-L4 There is no evidence of disc disease or protrusion, central canal.
stenosis, or neural foraminal narrowing.

2
 • -- u1aQnostir<= •

ANANDRIS
MEDICAL CENTRE HIJI

4
L -Ls: Diffuse disc bulge noted causing mild bilateral foraminal
narrowing with mild compression of the exiting nerve roots and mild
significant spinal canal stenosis.

LS-St: Diffuse disc bulge noted causing bilateral fotaminal narrowing

with compression of the exiting nerve roots and moderate significant
spinal canal stenosis.

DISC SPACES AP CANAL DIAMETER (mm)

L1-L2 17

L2-L3 17

L3-L4 17

L4-L5 14

L5-Sl 14

3
 -
r
I
T he
.
d un
fa
ens1
ce
.
t
on
jo
s.
in ts ap pe ar no
nnal. Th e bo ny spin al canal
•
appears normal in.

I tru
Posterior osseous s ctures and soft tis
sue structures are no
en.
rmal.

I ra sp in al so ft tis sue collection is se

No pr e pa

:
ce rv ic al an d do rs al spine
O n sc re en in g of in
bodies and other IV disc are normal
The cervical an d dorsal vertebral
tensities.
heights & signal in
en.
ee qisc fragment se
N o evidence o f fr
ity.
ts no rm al th ic kn ess & signal intens
Spinal co rd exhibi

IMPRESSION dy w it h
re se en in vo lv in g L 3 ve rt eb ra l bo
sion fr ac tu
T he re is compres in g th e m ar ro w pr ed om
in an tl y
gn al in vo lv
ab no rm al si
associated diffuse ri nt en si ty
I an d foci of T 2 an d F L A IR hy pe
2W
hypointense on T io r m ar gi ns ca us in g m od er
at e
f po st er
ated convexity o
within w it h associ th e sp in a~ ca na l at th e le ve
l of
et er of
osis. T he A P di am
.sp in al ca na l sten
so ci at ed pe ri ph er al ly en ha nc in g
is as
is 8.8 m m . T he re
L 3 ve rt eb ra l bo dy d 12 m m in
10 m m in th ic kn es s on ri gh t an
ri ng
so ft tissue m ea su s m us cl e
s co nt ig uo us ly al on g th e le ft ps oa
It ex te nd
th ic kn es s on left. ab sc es s
ly en ha nc in g co llection su gg es ti ng
al
fo rm in g pe ri ph er so ci at ed p re v er te b ra l
so ft
.T he re is as
2.4 x 7 cm in size
measuring_ 4.4 x

4
 . Dia gno stic s

ANAND •
MEDICAL C E N ~! S 1- f IJ I

tis su e me as ur in g 7 mm
in th.
al epidural
sio n Tb •ckness. It also shows minim
ten an d
ex
lle cti on ap pe ars hy po int ense on TlW I an d T2 W I
sh • e co
ra st enhancement.
ows pe rip he ra l po st- co nt ·
• . sp on dy lod isc iti s
Fi nd in gs lik el Y ID .1avour of infective etiology likely
ggested.
eti olo gy . HP R an d mi crobiological correlation su
fu be rc ul ar in
wi th
no ted ca us ing bil ate ral foraminal narrowing
Di ffu se di sc bu lge sp in al
ex iti ng ne rv e ro ots an d moderate significant
co mp re ssi on of th e
an d L5-S1.
ca na l ste no sis at L4 -L 5
ow in g wi th
bu lge no ted ca us in g bilateral foraminal na rr
Di ffu se di sc in al ca na l
e ex iti ng ne rv e ro ots an d mild sig ni fic an t sp
co mp re ssi on of th
L3 -L 4.
ste no sis at L2 -L 3 an d

l an d do rs al sp in e:
On sc re en in g of ce rv ica
ali ty de tec ted .
No sig ni fic an t ab no rm
_ __ /

, -,
Dr. Punit Mahajan 544ts} ,J
logy Reg.No.: 2015/05/2
MBBS,MD,DNB,FVIR Radio
diologytree Services
Consultant Radiologistfs}~] Ra
Scan QR to download
report

5
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INDRAYANI HOSPITAL & CANCER INSTITUTE

RADIATION ONCOLOGY CONSULTATION PAPER

#43S415
MR.RASHID AMIR PATHAN
YERWADA, PUNE DATE: 28/07/2023
AGE: 3S REFERED BY Self

SHORT HISTORY
c/o non healing ulcer, pain and swelling right buccal mucosa region for 1 month; s/b Dr Ankolikar; Sx on 14.07.2023; s/b Dr Dinesn; referred
here for RT opinion

• ''AC;,underwent Rt composite resection + Rt MRND + PMMC on 14.07.2023 by Dr Ankolikar

Hypertension : + on rx
Diabetes : no
high grade sec right buccal mucosa; 14.07.2023 HPR MDSCC of right buccal mucosa, Others no
PT 2.S x 1.5 x 1.5 cm, DOI 1.5 cm, infiltrates underlying rnuscle, PNI seen, no LVI, mandibular Addiction gutaka, cigarette for 1 year
bone unremarkable, margins free, closest 5 mm away, LN 01/32, no ENE, lesion on tongue-
Unri::>m_-:irl,,.::ihlo

f ~(, ~( s

~?Jt1
!
ECK lesion involving right buccal mucosa adjacent to maxilla extending from
d molar teeth, measures 3.7 x 1.7 ems. Extends to GBS, inferior alveolar

I
I

i
, RMT with overlying s/c fat stranding. Right level lb LN 1.8 x 1.2 cm.
I
.,
N
'

Gl

;i l
~• I
~,at
N
res and staples in situ over right face and neck post op scar region

..1~
! \ STAGE: RT3 Nl Mx

;.1 \ Jc

. J cal mucosa

TREATMENT PLAN
. Adjuvant Radiotherapy+/· concurrent chemotherapy

Shrl Narsimha Saraswati Medical foundation

lndrayani Hospital &Cancer Institute