EURORAD ESR

Case 12682

MR imaging of bladder and vesicouterine pouch endometriosis

Author(s)
Parveen Sulthana M, Saravana Kumar S, Malathi V, Sekhar K.S.

Billroth Hospitals, Department of Radiology, Lakshmi talkies road, Shenoy nagar, Chennai-600 030.India; Email:drspjkmc@gmail.com
 
Patient
female, 40 year(s)
 
 
  • Figure 1
    Sagittal T2W MRI
     

    Sagittal T2W images showing multiple foci of heterogenous hyperintense signal in the vesicouterine pouch with extension into the adjoining wall of urinary bladder.

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

    Sagittal T2W images showing multiple foci of heterogenous hyperintense signal in the vesicouterine pouch with extension into the adjoining wall of urinary bladder.

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

    Sagittal T2W images showing multiple foci of heterogenous hyperintense signal in the vesicouterine pouch with extension into the adjoining wall of urinary bladder.

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

    Sagittal T2W images showing multiple foci of heterogenous hyperintense signal in the vesicouterine pouch with extension into the adjoining wall of urinary bladder.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Axial T2W MR image
     

    Axial T2W images showing soft tissue thickening and hyperintense foci in the vesicouterine space with infiltration into the adjacent wall of urinary bladder.

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

    Axial T2W images showing soft tissue thickening and hyperintense foci in the vesicouterine space with infiltration into the adjacent wall of urinary bladder.

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

    Axial T2W images showing soft tissue thickening and hyperintense foci in the vesicouterine space with infiltration into the adjacent wall of urinary bladder.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Axial T1W FAT SATURATED MR image
     

    Axial T1W fat saturated images showing hyperintense foci in the vesicouterine space and wall of urinary bladder in keeping with haemorrhage.

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

    Axial T1W fat saturated images showing hyperintense foci in the vesicouterine space and wall of urinary bladder in keeping with haemorrhage.

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

    Axial T1W fat saturated images showing hyperintense foci in the vesicouterine space and wall of urinary bladder in keeping with haemorrhage.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Axial and Sagittal Diffusion weighted MRI
     

    Axial diffusion weighted MR images show hyperintense signal(white arrow) of the soft tissue thickening in the vesicouterine pouch. No corresponding restriction of diffusion was noted on the ADC map.

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

    Sagittal reformatted diffusion weighted MR images show hyperintense signal(white arrow) of the soft tissue thickening in the vesicouterine pouch. No corresponding restriction of diffusion was noted on the ADC map.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Sagittal T2W images showing multiple foci of heterogenous hyperintense signal in the vesicouterine pouch with extension into the adjoining wall of urinary bladder.
 
Sagittal T2W images showing multiple foci of heterogenous hyperintense signal in the vesicouterine pouch with extension into the adjoining wall of urinary bladder.
 
Sagittal T2W images showing multiple foci of heterogenous hyperintense signal in the vesicouterine pouch with extension into the adjoining wall of urinary bladder.
 
Sagittal T2W images showing multiple foci of heterogenous hyperintense signal in the vesicouterine pouch with extension into the adjoining wall of urinary bladder.
 
Axial T2W images showing soft tissue thickening and hyperintense foci in the vesicouterine space with infiltration into the adjacent wall of urinary bladder.
 
Axial T2W images showing soft tissue thickening and hyperintense foci in the vesicouterine space with infiltration into the adjacent wall of urinary bladder.
 
Axial T2W images showing soft tissue thickening and hyperintense foci in the vesicouterine space with infiltration into the adjacent wall of urinary bladder.
 
Axial T1W fat saturated images showing hyperintense foci in the vesicouterine space and wall of urinary bladder in keeping with haemorrhage.
 
Axial T1W fat saturated images showing hyperintense foci in the vesicouterine space and wall of urinary bladder in keeping with haemorrhage.
 
Axial T1W fat saturated images showing hyperintense foci in the vesicouterine space and wall of urinary bladder in keeping with haemorrhage.
 
Axial diffusion weighted MR images show hyperintense signal(white arrow) of the soft tissue thickening in the vesicouterine pouch. No corresponding restriction of diffusion was noted on the ADC map.
 
Sagittal reformatted diffusion weighted MR images show hyperintense signal(white arrow) of the soft tissue thickening in the vesicouterine pouch. No corresponding restriction of diffusion was noted on the ADC map.
 
 
 
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