EURORAD ESR

Case 13580

Extra-Abdominal Desmoid Tumor.

Author(s)
Naval-Baudin P, Grassi Zamora C, Hernández-Gañan J, Narváez JA.

Hospital Universitari de Bellvitge; Feixa Llarga s/n 08907 L'Hospitalet de Llobregat, Spain; Email:navalpablo@hotmail.com
 
Patient
male, 50 year(s)
 
 
  • Figure 1
    MRI - Axial T1SE
     

    T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    MRI - Coronal T2WI
     

    T2TSE. Heterogeneously hypointense mass with a vertical fusiform shape. Vertical lineal hypointense bands.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T2TSE. Heterogeneously hypointense mass with a vertical fusiform shape. Vertical lineal hypointense bands.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T2TSE. Heterogeneously hypointense mass with a vertical fusiform shape. Vertical lineal hypointense bands.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    T2TSE. Heterogeneously hypointense mass with a vertical fusiform shape. Vertical lineal hypointense bands.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    MRI - STIR
     

    Coronal (3a-c) and axial (3d) STIR. Intermediate signal. Mass protrudes into intervertebral conjunction foramen (3a and 3d).

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal (3a-c) and axial (3d) STIR. Intermediate signal. Mass protrudes into intervertebral conjunction foramen (3a and 3d).

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal (3a-c) and axial (3d) STIR. Intermediate signal. Mass protrudes into intervertebral conjunction foramen (3a and 3d).

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal (3a-c) and axial (3d) STIR. Intermediate signal. Mass protrudes into intervertebral conjunction foramen (3a and 3d).

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    MRI - THRIVE pre and post-contrast enhancement
     

    Axial THRIVE precontrast (4a) and postcontrast (4b) enhancement, demonstrates diffuse enhancement.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial THRIVE precontrast (4a) and postcontrast (4b) enhancement, demonstrates diffuse enhancement.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    MRI - Coronal THRIVE post-contrast
     

    Coronal THRIVE + GD demonstrates avid contrast enhancement and clearly shows linear hypointense hypoenhancing linear band (“Black fingers”). Also cranial tip seems to form a beak-like thinning (“fascial tail”).

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal THRIVE + GD demonstrates avid contrast enhancement and clearly shows linear hypointense hypoenhancing linear band (“Black fingers”). Also cranial tip seems to form a beak-like thinning (“fascial tail”).

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 6
    CT Guided Biopsy

    CT-guided biopsy of the left supraclavicular mass.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: CT; Procedure: Biopsy; Special Focus: Neoplasia;
     
     
T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.
 
T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.
 
T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.
 
T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.
 
T1SE. Hypointense solid mass in lower left cervical. The mass abuts the left anterior vertebral body cortical and protrudes slightly into the intervertebral conjunction foramen.
 
T2TSE. Heterogeneously hypointense mass with a vertical fusiform shape. Vertical lineal hypointense bands.
 
T2TSE. Heterogeneously hypointense mass with a vertical fusiform shape. Vertical lineal hypointense bands.
 
T2TSE. Heterogeneously hypointense mass with a vertical fusiform shape. Vertical lineal hypointense bands.
 
T2TSE. Heterogeneously hypointense mass with a vertical fusiform shape. Vertical lineal hypointense bands.
 
Coronal (3a-c) and axial (3d) STIR. Intermediate signal. Mass protrudes into intervertebral conjunction foramen (3a and 3d).
 
Coronal (3a-c) and axial (3d) STIR. Intermediate signal. Mass protrudes into intervertebral conjunction foramen (3a and 3d).
 
Coronal (3a-c) and axial (3d) STIR. Intermediate signal. Mass protrudes into intervertebral conjunction foramen (3a and 3d).
 
Coronal (3a-c) and axial (3d) STIR. Intermediate signal. Mass protrudes into intervertebral conjunction foramen (3a and 3d).
 
Axial THRIVE precontrast (4a) and postcontrast (4b) enhancement, demonstrates diffuse enhancement.
 
Axial THRIVE precontrast (4a) and postcontrast (4b) enhancement, demonstrates diffuse enhancement.
 
Coronal THRIVE + GD demonstrates avid contrast enhancement and clearly shows linear hypointense hypoenhancing linear band (“Black fingers”). Also cranial tip seems to form a beak-like thinning (“fascial tail”).
 
Coronal THRIVE + GD demonstrates avid contrast enhancement and clearly shows linear hypointense hypoenhancing linear band (“Black fingers”). Also cranial tip seems to form a beak-like thinning (“fascial tail”).
 
CT-guided biopsy of the left supraclavicular mass.
 
 
 
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