Case 1.27

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

72-year-old man with a history of prostate cancer and new posterior right buttock pain Axial (Figure 14.1.1) and coronal oblique (Figure 14.1.2) T1-weighted images and axial (Figure 14.1.3) and coronal oblique (Figure 14.1.4) fat-suppressed T2-weighted FSE images demonstrate a linear defect in the right side of the sacrum with low signal intensity on T1-weighted images and mildly increased T2-signal intensity. Axial diffusion-weighted image (b=800 s/mm...



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

29-year-old man with history of liver transplantation for advanced PSC performed 5 weeks ago, now with increasing elevation of hepatic enzymes Axial fat-suppressed FSE T2-weighted image (Figure 2.20.1) demonstrates a subtle area of mildly increased signal intensity in the periphery of the right hepatic lobe. Biliary ducts were unremarkable on MRCP (images not shown). Pregadolinium, portal venous, and equilibrium phase postgadolinium 3D SPGR images (...



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

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...



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

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

72-year-old man with left flank pain and a history of bleeding diathesis, for which he takes warfarin Axial FSE T2-weighted image (Figure 7.29.1) reveals a posterior left perinephric mass with heterogeneous increased signal intensity. Axial diffusion- weighted image (b=800 s/mm2) and the corresponding ADC map (...



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

22-year-old woman with a history of diabetes mellitus, hyperlipidemia, and polycystic ovarian syndrome; she was involved in a motor vehicle accident, and abdominal CT demonstrated multiple hepatic masses Axial fat-suppressed FSE T2-weighted image (Figure 1.16.1) demonstrates at least 2 hyperintense masses in the periphery of the right hepatic lobe. Diffusion-weighted image (b=600 s/mm...



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

75-year-old man with history of gross hematuria Axial fat-suppressed FSE T2-weighted images (Figure 8.19.1) show a mass in the bladder posteriorly near the right ureterovesical junction with mild increased signal intensity obstructing the distal right ureter. Arterial phase and 10-minute delayed postgadolinium coronal 3D SPGR images from an MR urogram (...



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