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Congress: ECR25
Poster Number: C-17418
Type: Poster: EPOS Radiologist (educational)
Authorblock: I. Goel, P. Kaushik; Delhi/IN
Disclosures:
Ishan Goel: Nothing to disclose
Parul Kaushik: Nothing to disclose
Keywords: Abdomen, Paediatric, Pelvis, CT, MR, Ultrasound-Colour Doppler, Diagnostic procedure, Structured reporting, Cysts, Education and training, Neoplasia
Conclusion
  • Imaging features and qualitative nature of the presacral lesions provide a practical perspective/ guide. towards diagnostic differentials and Radiologist must be aware of the same.
  • Anatomical information provided from imaging aids in selecting the right surgical approach for resection and management.
  • Reporting checklist should be followed for a definitve diagnosis and should include:
    • Tumor location & relationship to adjacent structures
      • midline vs lateral
      • Impact on or displacement of the rectum, bladder, uterus, or other pelvic organs
      • Involvement of the sacrum and coccyx (spared or erosion or expansion)
      • Vascular structures (e.g., iliac vessels, sacral arteries)
    • Tumor Size and Shape : 
      • Maximum dimensions and Shape of the mass (round, lobulated, irregular)
    • Tumor Composition
      • Cystic vs Solid or mixed
      • Presence or absence of fat
      • Secondary infection, protein, fluid, hemorrhage or calcifications
    • Tumor Margin and Encapsulation
      • Well-defined vs. ill-defined borders and presence or absence of a capsule.
    • Presence and absence of Vascularity and degree of enhancement
    • Primary and Differential Diagnosis
    • Recommendations for Further Evaluation
      • Additional imaging, Biopsy or surgical referral
GALLERY