EURORAD ESR

Case 10940

A pitfall case of endometrial serous adenocarcinoma

Author(s)
Lara Delgado1, Teresa Margarida Cunha2

(1) Centro Hospitalar de Lisboa Ocidental,
Lisbon, Portugal
(2) Instituto Português de Oncologia de Lisboa Francisco Gentil,
Lisbon, Portugal
Email: lara_sofia_81@hotmail.com
 
Patient
female, 78 year(s)
 
 
  • Figure 1
    Figure 1 Pelvic MR

    T1-weighted image on axial plane shows a high signal intensity fluid-filled structure with folded configuration and with scaterred low signal vegetations (arrows).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Tissue characterisation;
     
     
  • Figure 2
    Figure 2 Pelvic MR
     

    T2-weighted image on sagittal plane shows a high signal intensity fluid-filled structure with folded configuration and a incomplete septation (arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Tissue characterisation;

    T2-WI on sagittal plane shows above the vaginal cuff between the bladder and the rectum a centrally located high signal intensity fluid-filled structure with folded configuration with scattered intermediate signal...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Tissue characterisation;

    T2-weighted image on axial plane shows a high signal intensity fluid-filled structure with folded configuration and with scattered intermediate signal vegetations.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T2-weighted image on axial plane shows a cystic lesion, with intermediate signal intensity vegetations.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T2-weighted image on coronal plane shows a cystic lesion, with intermediate signal intensity vegetations.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Figure 3 Pelvic MR
     

    Fat-suppressed T1WI after gadolinium administration on sagittal plane shows the high signal intensity of the fluid filled structure showing either high protein or hemorrhagic contend and the solid vegetations (arrow)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Tissue characterisation;

    Fat-suppressed T1WI after gadolinium administration on axial plane shows the enhancement of the solid vegetations.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Fat-suppressed T1WI after gadolinium administration on axial plane shows the enhancement of the solid vegetations.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
T1-weighted image on axial plane shows a high signal intensity fluid-filled structure with folded configuration and with scaterred low signal vegetations (arrows).
 
T2-weighted image on sagittal plane shows a high signal intensity fluid-filled structure with folded configuration and a incomplete septation (arrow).
 
T2-WI on sagittal plane shows above the vaginal cuff between the bladder and the rectum a centrally located high signal intensity fluid-filled structure with folded configuration with scattered intermediate signal intensity vegetations (arrow)
 
T2-weighted image on axial plane shows a high signal intensity fluid-filled structure with folded configuration and with scattered intermediate signal vegetations.
 
T2-weighted image on axial plane shows a cystic lesion, with intermediate signal intensity vegetations.
 
T2-weighted image on coronal plane shows a cystic lesion, with intermediate signal intensity vegetations.
 
Fat-suppressed T1WI after gadolinium administration on sagittal plane shows the high signal intensity of the fluid filled structure showing either high protein or hemorrhagic contend and the solid vegetations (arrow)
 
Fat-suppressed T1WI after gadolinium administration on axial plane shows the enhancement of the solid vegetations.
 
Fat-suppressed T1WI after gadolinium administration on axial plane shows the enhancement of the solid vegetations.
 
 
 
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