Order: MRI OF LEFT AXILLA (BRACHIAL PLEXUS) DX: R/O GROWTH OF LEFT AXILLA W/WO CONTRAST
Report:
MRI OF THE LEFT BRACHIAL PLEXUS AND AXILLA WITHOUT AND WITH INTRAVENOUS
GADOLINIUM:CLINICAL INDICATION: Pain, numbness and tingling left upper extremity and pain in the
back. There is question of palpable mass within the left axilla.TECHNIQUE: Multiplanar, multisequence MRI of the left axilla and left brachial plexus
were performed, before and following the intravenous administration of 15 cc of
gadolinium. IV access was obtained on site. Vitamin E marker was placed on the skin in
the area of palpable concern as indicated by the patient.FINDINGS: On precontrast images, T2 and T2-weighted images, there is no MR definable
mass, near area of palpable concern. Of note, there is prominent fat in that location but
no encapsulation, to suggest the presence of a focal lipoma. There is no visible axillary
adenopathy. There is no mass, supraclavicular. The brachial plexus, demonstrates normal
signal intensity and contour. There is no increased signal within the nerves on inversion
recovery imaging.The glenohumeral alignment is grossly maintained on the left. There is no definite MR
evidence of acute fracture. The visualized portion of the mediastinum is unremarkable. The visualized thyroid gland is
grossly unremarkable. Post-gadolinium administration, there is normal enhancement, in the left subclavian vein,
and left subclavian and axillary arteries. There is no abnormal enhancement, or
enhancing mass seen.
IMPRESSION: 1. Normal MR examination of the left brachial plexus and left axilla. No mass is identified.
Clinical followup is advised. Negative MR examination should not deter biopsy of a clinically suspicious palpable
finding.
Insurance approved 73223 and we billed it out as 71552???
HELP!!!! Is the axilla/brachial plexus really considered a joint?
Report:
MRI OF THE LEFT BRACHIAL PLEXUS AND AXILLA WITHOUT AND WITH INTRAVENOUS
GADOLINIUM:CLINICAL INDICATION: Pain, numbness and tingling left upper extremity and pain in the
back. There is question of palpable mass within the left axilla.TECHNIQUE: Multiplanar, multisequence MRI of the left axilla and left brachial plexus
were performed, before and following the intravenous administration of 15 cc of
gadolinium. IV access was obtained on site. Vitamin E marker was placed on the skin in
the area of palpable concern as indicated by the patient.FINDINGS: On precontrast images, T2 and T2-weighted images, there is no MR definable
mass, near area of palpable concern. Of note, there is prominent fat in that location but
no encapsulation, to suggest the presence of a focal lipoma. There is no visible axillary
adenopathy. There is no mass, supraclavicular. The brachial plexus, demonstrates normal
signal intensity and contour. There is no increased signal within the nerves on inversion
recovery imaging.The glenohumeral alignment is grossly maintained on the left. There is no definite MR
evidence of acute fracture. The visualized portion of the mediastinum is unremarkable. The visualized thyroid gland is
grossly unremarkable. Post-gadolinium administration, there is normal enhancement, in the left subclavian vein,
and left subclavian and axillary arteries. There is no abnormal enhancement, or
enhancing mass seen.
IMPRESSION: 1. Normal MR examination of the left brachial plexus and left axilla. No mass is identified.
Clinical followup is advised. Negative MR examination should not deter biopsy of a clinically suspicious palpable
finding.
Insurance approved 73223 and we billed it out as 71552???
HELP!!!! Is the axilla/brachial plexus really considered a joint?