Case 11.13

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

56-year-old man with progressive solid-food dysphagia and a 15-lb weight loss over the past 3 months Axial fat-suppressed FSE T2-weighted images (Figure 9.2.1) show circumferential thickening and mildly increased signal intensity in the distal esophagus. Axial diffusion-weighted images with a b value of 600 s/mm...


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

38-year-old woman with a 2-week history of pelvic pain Axial diffusion-weighted images (b=800 s/mm2) (Figure 10.19.1) reveal an infiltrative mass centered in the posterior and right lateral myometrium with heterogeneous increased signal intensity. Sagittal oblique FSE image (Figure 10.19.2...


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

30-year-old woman with VHL syndrome and prior pancreatic surgery Axial diffusion-weighted images (b=100 s/mm2) (Figure 4.20.1) reveal multiple hyperintense hepatic lesions. Axial fat-suppressed FSE T2-weighted images (Figure 4.20.2) demonstrate extensive cystic disease involving the pancreas. Note also that several lesions consist of clustered cysts. Axial (...


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

32-year-old pregnant woman with an abdominal mass; MRI was performed without intravenous contrast Axial fat-suppressed FSE T2-weighted images (Figure 4.16.1) reveal a complex predominantly cystic mass in the pancreatic body and tail with a prominent solid component along the posterior margin. Note the multiple small fluid-fluid levels within the lesion. Axial diffusion-weighted images (b=600 s/mm...


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

34-year-old man with a history of gastroesophageal reflux and recent solid food dysphagia Axial fat-suppressed FSE T2-weighted images (Figure 9.4.1) and coronal SSFSE images (Figure 9.4.2) demonstrate an infiltrative mass in the gastric cardia and fundus with marked mural thickening and slight hyperintensity relative to normal stomach. Axial diffusion-weighted images with a b value of 600 s/mm...


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

47-year-old woman with chronic liver disease Axial fat-suppressed FSE T2-weighted images (Figure 2.29.1) and diffusion-weighted images (b=100 s/mm2) (Figure 2.29.2) demonstrate focal, decreased signal intensity surrounding peripheral portal vein branches, or “periportal halos.” Axial fat-suppressed 2D SSFP 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

70-year-old woman with a history of ovarian carcinoma Coronal SSFSE images (Figure 11.15.1) demonstrate a large, predominantly solid right adnexal mass, with a simple-appearing cystic lesion in the left ovary. Note the abdominal pelvic ascites and small solid nodules between the diaphragm and liver, as well as confluent omental masses below the transverse colon on the most anterior image. Axial diffusion-weighted images (b=600 s/mm...


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

61-year-old woman with a known syndrome Coronal SSFSE (Figure 4.17.1) and axial diffusion-weighted images (b=600 s/mm2) (Figure 4.17.2) demonstrate marked rugal fold thickening in the fundus and body of the stomach. A heterogeneous hypoenhancing mass at the neck of the pancreas is seen on arterial phase postgadolinium 3D SPGR images (...


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