تفسیر ام آر آی ؟

سن : 69
وزن : 78
جنسيت : آقا
در مورد وجود ضايعه در مثانه؟
سلام آقاي دکتر عزيز،

ممنون ميشم در مورد گزارش ام آر آي و ميزان ضرورت عمل برداشتن اين ضايعه اظهار نظر بفرماييد. اول گفتن جراحي بشه بتراشن.بعدش گفتن بهتره سيستوسكوپي تشخيصي انجام بشه و اگر ضرورت داشت همونموقع نمونه برداري انجام بشه.
کدوم روش توصيه ميشه؟؟
آيا ام آر آي نشون داده که خوش خيم هست يا خير؟؟

MR study with multiplanar images with different pulse sequences ( before
and after IV contrast injection );
In multiplanar MR images of abdominal cavity, liver, spleen, pancreas,
kidneys, gallbladder and biliary ducts appear normal.
No SOL or paraaortic lymphadenopathy is noted.
No ascites is seen.
No pathologic enhancement is noted.
PELVIC MRI WITH & WITHOUT CONTRAST:
MR study with multiplanar images with different pulse sequences
( before and after IV contrast injection )

Evidence of polypoid enhancing lesion measuring about 25x15 mm is seen arising from left
posterior wall of bladder, in trigone of bladder, adjacent to left UVJ, confined to bladder wall
without invasion to visceral layer, highly suggestive for bladder neoplastic process (TCC ?).
No apparent hydroureteronephrosis is detected.
Few tiny diffusion restricted regional lymph nodes are seen at left pelvic cavity with maximum SAD
3-4 mm.
No apparent para aortic lymphadenopathy is detected.
Recommendation: Correlation with cystoscopic exam and excisional
biopsy is
recommend