Case 1.9

Author(s):  
Christine U. Lee ◽  
James F. Glockner

63-year-old female potential kidney donor with an indeterminate liver mass Axial fat-suppressed FSE T2-weighted (Figure 1.9.1) and SSFP (Figure 1.9.2) images demonstrate a focal lesion with high signal intensity in the right hepatic lobe. Diffusion-weighted image (b=600 s/mm2) and corresponding ADC map (...

Author(s):  
Christine U. Lee ◽  
James F. Glockner

46-year-old woman with history of appendiceal goblet cell carcinoid, resected 3 years previously, who underwent MRI to assess for hepatic metastases Axial fat-suppressed FSE T2-weighted images (Figure 11.18.1) and sagittal fat-suppressed 2D SSFP image (Figure 11.18.2) reveal a large, mildly heterogeneous mass in the central pelvis superior to the uterus with diffusely high signal intensity and a few scattered cystic components. Axial diffusion-weighted image (b=800 s/mm...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

75-year-old man with right upper quadrant pain Axial fat-suppressed dual echo FSE T2-weighted images (Figure 1.7.1) reveal a lobulated mass in the right hepatic lobe with diffuse high signal intensity. Note that on the dual echo images, there is little signal loss between the first (TE, 80 ms) and second (TE, 160 ms) echoes. Axial arterial, portal venous, equilibrium, and 5-minute delayed phase postgadolinium 3D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

68-year-old man with a history of prostatectomy for prostate adenocarcinoma, increasing nocturnal urinary frequency, and rising PSA level Sagittal FSE T2-weighted image (Figure 8.17.1) obtained using an endorectal coil shows a large lobulated mass in the posterior bladder wall extending superiorly to the dome and inferiorly to the vesicourethral junction. The mass has high signal intensity on an axial diffusion-weighted image (b=1,000 s/mm...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

35-year-old woman with a genetic disease Axial fat-suppressed FSE T2-weighted images (Figure 6.6.1) demonstrate a large right adrenal mass with scattered regions of high T2-signal intensity. The lesion shows moderately high signal intensity on diffusion-weighted image (b=600 s/mm2) (Figure ...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

36-year-old woman with early satiety and abdominal discomfort Axial fat-suppressed FSE T2-weighted image (Figure 1.8.1) demonstrates a large mass in the left hepatic lobe with high signal intensity, greatest in the center of the lesion. Axial arterial, portal venous, and equilibrium phase postgadolinium 3D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

68-year-old man with hematuria Axial T2-weighted (Figure 8.16.1) and T1-weighted (Figure 8.16.2) FSE images, axial diffusion-weighted image (b=800 s/mm2) (Figure 8.16.3), and sagittal T2-weighted FSE image (Figure 8.16.4) demonstrate marked heterogeneous thickening of the posterior and lateral bladder walls, with high signal intensity on the diffusion-weighted image. The mass has extended posteriorly to invade and encase the seminal vesicles and prostate. Note also a large filling defect present in the bladder lumen, with a hyperintense rim on the T1-weighted image....


Author(s):  
Christine U. Lee ◽  
James F. Glockner

66-year-old woman with nausea, vomiting, and abdominal pain after a recent fundoplication. Abdominal CT revealed a right hepatic lobe mass Coronal SSFSE (Figure 1.2.1) and axial fat-suppressed FSE T2-weighted (Figure 1.2.2) images demonstrate a lobulated mass with high signal intensity in the right hepatic lobe. Axial arterial phase, portal venous phase, and coronal oblique reformatted equilibrium phase postgadolinium 3D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

29-year-old woman who noted an abdominal wall mass during the third trimester of her pregnancy Axial diffusion-weighted image (b=600 s/mm2) (Figure 14.9.1) and sagittal T1-weighted FSE image (Figure 14.9.2) demonstrate a fairly well-defined mass within the rectus muscle with high signal intensity on the diffusion-weighted image and mild hypointensity relative to skeletal muscle on the T1-weighted image. Axial arterial (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

75-year-old woman with a history of deep venous thrombosis and pulmonary emboli Coronal SSFSE (Figure 1.27.1) and axial fat-suppressed FSE T2-weighted (Figure 1.27.2) images reveal a large exophytic mass projecting inferiorly from the right hepatic lobe, with a few scattered foci of mildly increased signal intensity. Axial diffusion-weighted image (b=400 s/mm...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

57-year-old man with a history of alcoholic cirrhosis Axial fat-suppressed FSE T2-weighted (Figure 1.24.1) and diffusion-weighted (b=100 s/mm2) (Figure 1.24.2) images demonstrate a peripheral right hepatic lobe mass that has mildly increased signal intensity relative to adjacent liver. Notice the higher signal intensity and greater contrast on the diffusion-weighted image (b=100 s/mm...


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