EURORAD ESR

Case 12523

The importance of differential diagnosis in the imaging of uterus leiomyomas

Author(s)
C Gladwell, Z Rodak, H Addley

West Suffolk Hospital, Bury St Edmunds, Suffolk, UK IP33 2QZ.
 
Patient
female, 51 year(s)
 
 
  • Figure 1
    Transverse and longitudinal transabdominal ultrasound images

    Transverse and longitudinal transabdominal ultrasound images demonstrating a large heterogeneous pelvic mass.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 2
    Midline transvaginal ultrasound image

    Midline transvaginal ultrasound image demonstrating solid and cystic components of the mass.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 3
    Sagittal T2-weighted image

    Sagittal T2-weighted image demonstrating large pelvic mass arising from the lower uterine segment (arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 4
    Coronal T2-weighted image

    Coronal T2 weighted image demonstrating the large mass with distortion of the endometrial cavity. Intra-uterine coil device (ICUD) can be seen within the preserved endometrial cavity at the fundus of the uterus (arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 5
    Axial T2-weighted image

    Axial T2-weighted image demonstrating a heterogeneous uterine mass with variable signal intensities.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 6
    Axial T1-weighted image

    Axial T1-weighted image demonstrating large mass mainly with signal intensity similar to that of muscle and hyperintense areas centrally, probably corresponding to areas of haemorrhage.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 7
    Coronal heavily T2-weighted image

    Coronal heavily T2 weighted image demonstrating bilateral hydronephrosis and hydroureter to the level of the obstructing pelvic mass.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 8
    Coronal CT image

    Coronal CT image through the chest demonstrating bilateral lung metastases.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
Transverse and longitudinal transabdominal ultrasound images demonstrating a large heterogeneous pelvic mass.
 
Midline transvaginal ultrasound image demonstrating solid and cystic components of the mass.
 
Sagittal T2-weighted image demonstrating large pelvic mass arising from the lower uterine segment (arrow).
 
Coronal T2 weighted image demonstrating the large mass with distortion of the endometrial cavity. Intra-uterine coil device (ICUD) can be seen within the preserved endometrial cavity at the fundus of the uterus (arrow).
 
Axial T2-weighted image demonstrating a heterogeneous uterine mass with variable signal intensities.
 
Axial T1-weighted image demonstrating large mass mainly with signal intensity similar to that of muscle and hyperintense areas centrally, probably corresponding to areas of haemorrhage.
 
Coronal heavily T2 weighted image demonstrating bilateral hydronephrosis and hydroureter to the level of the obstructing pelvic mass.
 
Coronal CT image through the chest demonstrating bilateral lung metastases.
 
 
 
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