Case 11.10

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

57-year-old asymptomatic woman with a pelvic mass palpated during routine physical examination Axial fat-suppressed FSE T2-weighted images (Figure 11.10.1) reveal a large cystic lesion in the pelvis, with a partial septation anteriorly. Coronal FSE T2-weighted image (Figure 11.10.2) shows similar findings. An axial FSE T1-weighted image (...

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

52-year-old woman with an enlarging mass in her lower abdomen Axial FSE T1-weighted image (Figure 14.12.1) and fat-suppressed T2-weighted images (Figure 14.12.2) reveal a large pelvic mass that is mildly hypointense relative to skeletal muscle on the T1-weighted image and heterogeneously hyperintense on the T2-weighted images with a region of focal scarring anteriorly. Axial postgadolinium 2D SPGR images (...


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

49-year-old woman with a right-sided pelvic mass on physical examination Axial fat-suppressed FSE T2-weighted images (Figure 10.12.1) and sagittal FSE T2-weighted images without fat suppression (Figure 10.12.2) demonstrate a large lobulated mass with low T2-signal intensity. An axial arterial phase postgadolinium 3D SPGR image (...


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

80-year-old woman with dysuria and urinary retention Axial fat-suppressed FSE T2-weighted image (Figure 8.3.1) and coronal (Figure 8.3.2) and sagittal (Figure 8.3.3) FSE T2-weighted images demonstrate a large, lobulated periurethral cystic lesion adjacent to the posterior lateral margin of the urethra and slightly displacing the course of the urethra. Note the Foley catheter in the urethra and bladder....


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

50-year-old man with an elevated PSA level and an enlarged prostate on physical examination Axial FSE T2-weighted images (Figure 12.24.1) obtained with an endorectal coil reveal a heterogeneous mass containing cystic and solid components replacing the prostate. Postgadolinium axial 2D SPGR images (...


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

74-year-old man with a penile prosthesis and a new enlargement and discomfort of the right penile shaft Sagittal fat-suppressed FSE T2-weighted image (Figure 12.7.1) through the right corporus cavernosum demonstrates fluid surrounding the cylinder of the penile prosthesis. Note also the focal angulation at the base of the cylinder with discontinuity of the prosthesis components. Sagittal oblique postinflation FSE T2-weighted images (...


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

57-year-old woman with a pelvic mass Axial fat-suppressed FSE T2-weighted images (Figure 11.16.1) demonstrate a large heterogeneous mass in the central and right pelvis with regions of high and intermediate signal intensity. Axial postgadolinium 3D SPGR images (Figure 11.16.2) reveal heterogeneous enhancement of the lesion with anterior and inferior cystic or necrotic regions....


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

54-year-old postmenopausal woman with vague pelvic pain Axial T2-weighted images from a DWI acquisition (b=0 s/mm2) (Figure 11.13.1) demonstrate a complex central pelvic mass containing an anterior cystic component, as well as a lobulated posterior solid component with mixed, but predominantly low, signal intensity. Corresponding axial diffusion-weighted images (b=800 s/mm...


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

72-year-old woman with vaginal bleeding Sagittal fat-suppressed FSE T2-weighted images (Figure 10.18.1) demonstrate an ill-defined mass in the endometrial cavity that extends into the myometrium of the uterine fundus superiorly and protrudes into the lower uterine segment. There are multiple round, T2-hypointense fibroids within the uterine body and fundus. Notice the bulky, heterogeneously enhancing mass centered in the vagina and extending anteriorly to encase the urethra and bladder base and abutting the rectum posteriorly. Axial FSE T2-weighted image through the inferior pelvis (...


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

69-year-old woman with a vaginal lesion noted on physical examination Axial FSE T2-weighted images without (Figure 10.3.1) and with (Figure 10.3.2) fat suppression obtained following instillation of vaginal US gel demonstrate a uniformly hypointense lesion along the right lateral margin of the vagina. Axial postgadolinium 3D SPGR image (...


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