EURORAD ESR

Case 14371

Uterine Rhabdomyosarcoma.

Author(s)
Luke Dixon, Nishat Bharwani, Victoria Stewart

Hammersmith Hospital, Imperial College NHS Trust; Du Cane Rd, White City, London W12 0HS Email:luke.dixon@imperial.nhs.uk
 
Patient
female, 65 year(s)
 
 
  • Figure 1
    CT
     

    Porto-venous phase post-contrast axial CT demonstrates a soft tissue density mass expanding the cervix (arrow heads). Note the central enhancing focus (arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Staging; Special Focus: Neoplasia;

    Porto-venous phase post-contrast sagittal CT shows a soft tissue density mass prolapsing into and expanding the cervix and vagina (arrow heads). Note the linear central enhancement which projects superiorly to the...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 2
    T2-Weighted Sagittal MRI

    Sagittal T2WI of the pelvis shows a heterogeneous predominantly high T2w signal mass (arrowheads) projecting on a low signal fibrovascular stalk (arrow) from the posterior lower uterus into the expanded cervix and...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 3
    T2-Weighted Axial MRI

    Small field of view axial T2WI of the pelvis shows the heterogeneous predominantly high T2w signal mass expanding but not invading the cervix and vagina.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 4
    Axial T1-weighted MRI

    The mass demonstrates homogeneous low signal on the axial T1WI of the pelvis.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 5
    Post Contrast Sagittal T1-weighted MRI

    Post contrast sagittal T1WI with fat saturation demonstrates avid central enhancement related to the fibrovascular stalk with fine curvilinear enhancement projecting into the low T1W signal mass.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 6
    Axial DWI and ADC
     

    Axial DWI (b600) shows relatively homogeneous restricted diffusion throughout the lesion.

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

    Axial ADC shows relatively homogeneous restricted diffusion throughout the lesion.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Staging; Special Focus: Neoplasia;
     
     
Porto-venous phase post-contrast axial CT demonstrates a soft tissue density mass expanding the cervix (arrow heads). Note the central enhancing focus (arrow).
 
Porto-venous phase post-contrast sagittal CT shows a soft tissue density mass prolapsing into and expanding the cervix and vagina (arrow heads). Note the linear central enhancement which projects superiorly to the uterus (arrow).
 
Sagittal T2WI of the pelvis shows a heterogeneous predominantly high T2w signal mass (arrowheads) projecting on a low signal fibrovascular stalk (arrow) from the posterior lower uterus into the expanded cervix and vagina.
 
Small field of view axial T2WI of the pelvis shows the heterogeneous predominantly high T2w signal mass expanding but not invading the cervix and vagina.
 
The mass demonstrates homogeneous low signal on the axial T1WI of the pelvis.
 
Post contrast sagittal T1WI with fat saturation demonstrates avid central enhancement related to the fibrovascular stalk with fine curvilinear enhancement projecting into the low T1W signal mass.
 
Axial DWI (b600) shows relatively homogeneous restricted diffusion throughout the lesion.
 
Axial ADC shows relatively homogeneous restricted diffusion throughout the lesion.
 
 
 
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