EURORAD ESR

Case 1341

Pelvic inflammatory disease

Author(s)
Couceiro C, Vasconcelos A, Cunha TM
 
Patient
female, 32 year(s)
 
 
  • Figure 1
    Pelvic CT scan

    A left complex ill-defined adnexal mass (arrow), with cystic areas is noted, compressing the uterus to the right (arrowhead). The pelvic fat is densified.

     
    Area of Interest: unknown; Imaging Technique: Pelvic CT scan;
     
     
  • Figure 2
    Axial T2-weighted images
     

    Right subcutaneous abdominal wall collection, with high signal intensity, oval in shape, with a thick hypointense fibrous wall (white arrow). Some linear hypointense strands are visualized in the collection lumen...

     
    Area of Interest: unknown; Imaging Technique: Axial T2-weighted images;

    Collection in the abdominal wall and a left tubular slightly heterogeneous hyperintense mass, corresponding to pus in the left fallopian tube (arrow).

     
    Area of Interest: unknown; Imaging Technique: Axial T2-weighted images;

    In an inferior plan of section, the uterine corpus is seen deviated to the right (arrow) and compressed by the dilated left fallopian tube (arrowhead). Some follicular cysts are also seen in the right ovary (small...

     
    Area of Interest: unknown; Imaging Technique: Axial T2-weighted images;
     
     
  • Figure 3
    Sagittal T2-weighted images
     

    The extension of the abdominal wall collection is well appreciated (arrows).

     
    Area of Interest: unknown; Imaging Technique: Sagittal T2-weighted images;

    We can see, in a plan passing through the left adnexa, the characterization of oophorosalpingitis (arrow).

     
    Area of Interest: unknown; Imaging Technique: Sagittal T2-weighted images;
     
     
  • Figure 4
    Fat-saturated axial T1-weighted images with gadolinium enhancement
     

    Marked peripheral enhancement of the abdominal wall collection (arrow).

     
    Area of Interest: unknown; Imaging Technique: Fat-saturated axial T1-weighted images with gadolinium enhancement;

    In this image we can see enhancement of the internal linear strands of the abdominal wall collection (arrows). The left adnexa mass demonstrates parietal enhancement in a linear manner (arrowheads). Furthermore, the...

     
    Area of Interest: unknown; Imaging Technique: Fat-saturated axial T1-weighted images with gadolinium enhancement;

    At a lower level the uterus body is also intensely enhanced (arrow).

     
    Area of Interest: unknown; Imaging Technique: Fat-saturated axial T1-weighted images with gadolinium enhancement;
     
     
A left complex ill-defined adnexal mass (arrow), with cystic areas is noted, compressing the uterus to the right (arrowhead). The pelvic fat is densified.
 
Right subcutaneous abdominal wall collection, with high signal intensity, oval in shape, with a thick hypointense fibrous wall (white arrow). Some linear hypointense strands are visualized in the collection lumen (black arrow).
 
Collection in the abdominal wall and a left tubular slightly heterogeneous hyperintense mass, corresponding to pus in the left fallopian tube (arrow).
 
In an inferior plan of section, the uterine corpus is seen deviated to the right (arrow) and compressed by the dilated left fallopian tube (arrowhead). Some follicular cysts are also seen in the right ovary (small arrowheads).
 
The extension of the abdominal wall collection is well appreciated (arrows).
 
We can see, in a plan passing through the left adnexa, the characterization of oophorosalpingitis (arrow).
 
Marked peripheral enhancement of the abdominal wall collection (arrow).
 
In this image we can see enhancement of the internal linear strands of the abdominal wall collection (arrows). The left adnexa mass demonstrates parietal enhancement in a linear manner (arrowheads). Furthermore, the pelvic soft tissues also shows marked enhancement by the inflammatory reaction.
 
At a lower level the uterus body is also intensely enhanced (arrow).
 
 
 
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