EURORAD ESR

Case 14350

Hypercellular uterine leiomyoma: MRI findings

Author(s)
Tonolini Massimo, M.D.

"Luigi Sacco" University Hospital, Radiology Department; Via G.B. Grassi 74 20157 Milan, Italy; Email:mtonolini@sirm.org
 
Patient
female, 49 year(s)
 
 
  • Figure 1
    MRI - Unenhanced images
     

    Mid-sagittal T2-weighted image detected a large posterior subserosal uterine mass (*), measuring 5.5x.5x4.5 cm, moderately T2-hyperintense and heterogeneous. Note sub-centimeter Nabothian cyst (arrowhead) of the...

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

    Coronal (b), axial (c) and axial fat-suppressed (d) T2-weighted images confirmed a demarcated subserosal uterine mass (*), measuring 5.5x.5x4.5 cm, moderately T2-hyperintense and heterogeneous.

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

    Coronal (b), axial (c) and axial fat-suppressed (d) T2-weighted images confirmed a demarcated subserosal uterine mass (*), measuring 5.5x.5x4.5 cm, moderately T2-hyperintense and heterogeneous.

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

    Coronal (b), axial (c) and axial fat-suppressed (d) T2-weighted images confirmed a demarcated subserosal uterine mass (*), measuring 5.5x.5x4.5 cm, moderately T2-hyperintense and heterogeneous.

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

    The sizeable posterior subserosal uterine mass (*) appeared isointense to myometrium on precontrast T1-weighted images.

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

    On high b-value diffusion-weighted imaging (f) the sizeable dorsal subserosal uterine mass (*) appeared moderately hyperintense, with corresponding apparent diffusion coefficient (g) value 1.5x10-3 mm2/s.

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

    On high b-value diffusion-weighted imaging (f) the sizeable dorsal subserosal uterine mass (*) appeared moderately hyperintense, with corresponding apparent diffusion coefficient (g) value 1.5x10-3 mm2/s.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    MRI - post gadolinium enhanced images
     

    The posterior subserosal uterine mass (*) showed strong, moderately inhomogeneous enhancement compared to precontrast Fig.1e on multiplanar post-contrast T1-weighted images (a,b) and T1 fat-suppressed (c).

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

    The posterior subserosal uterine mass (*) showed strong, moderately inhomogeneous enhancement compared to precontrast Fig.1e on multiplanar post-contrast T1-weighted images (a,b) and T1 fat-suppressed (c).

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

    The posterior subserosal uterine mass (*) showed strong, moderately inhomogeneous enhancement compared to precontrast Fig.1e on multiplanar post-contrast T1-weighted images (a,b) and T1 fat-suppressed (c).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Mid-sagittal T2-weighted image detected a large posterior subserosal uterine mass (*), measuring 5.5x.5x4.5 cm, moderately T2-hyperintense and heterogeneous. Note sub-centimeter Nabothian cyst (arrowhead) of the uterine cervix.
 
Coronal (b), axial (c) and axial fat-suppressed (d) T2-weighted images confirmed a demarcated subserosal uterine mass (*), measuring 5.5x.5x4.5 cm, moderately T2-hyperintense and heterogeneous.
 
Coronal (b), axial (c) and axial fat-suppressed (d) T2-weighted images confirmed a demarcated subserosal uterine mass (*), measuring 5.5x.5x4.5 cm, moderately T2-hyperintense and heterogeneous.
 
Coronal (b), axial (c) and axial fat-suppressed (d) T2-weighted images confirmed a demarcated subserosal uterine mass (*), measuring 5.5x.5x4.5 cm, moderately T2-hyperintense and heterogeneous.
 
The sizeable posterior subserosal uterine mass (*) appeared isointense to myometrium on precontrast T1-weighted images.
 
On high b-value diffusion-weighted imaging (f) the sizeable dorsal subserosal uterine mass (*) appeared moderately hyperintense, with corresponding apparent diffusion coefficient (g) value 1.5x10-3 mm2/s.
 
On high b-value diffusion-weighted imaging (f) the sizeable dorsal subserosal uterine mass (*) appeared moderately hyperintense, with corresponding apparent diffusion coefficient (g) value 1.5x10-3 mm2/s.
 
The posterior subserosal uterine mass (*) showed strong, moderately inhomogeneous enhancement compared to precontrast Fig.1e on multiplanar post-contrast T1-weighted images (a,b) and T1 fat-suppressed (c).
 
The posterior subserosal uterine mass (*) showed strong, moderately inhomogeneous enhancement compared to precontrast Fig.1e on multiplanar post-contrast T1-weighted images (a,b) and T1 fat-suppressed (c).
 
The posterior subserosal uterine mass (*) showed strong, moderately inhomogeneous enhancement compared to precontrast Fig.1e on multiplanar post-contrast T1-weighted images (a,b) and T1 fat-suppressed (c).
 
 
 
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