EURORAD ESR

Case 14475

Abdominal and thoracic lymphangioma with unusual imaging

Author(s)
Manal Al-kaiem, Zahia Zaitout.

Milton Keynes University Hospital, NHS;
Email:m.al-kaiem@nhs.net
 
Patient
female, 39 year(s)
 
 
  • Figure 1
    Axial post-contrast portovenous abdominal CT

    Diffuse tissue thickening is demonstrated around the liver (white arrow) containing calcification (red arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Pathology;
     
     
  • Figure 2
    Axial non-contrast abdominal CT

    This shows the density of the surrounding soft tissue (40 HU).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: eLearning; Special Focus: Pathology;
     
     
  • Figure 3
    Coronal abdominal CT post contrast

    Coronal CT post-contrast porto-venous phase demonstrates the abnormal tissue thickening around the liver and the hepatorenal recess.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Pathology;
     
     
  • Figure 4
    Axial CT chest with contrast in the arterial phase

    Axial CT post-contrast porto-venous phase shows diffuse tissue thickening in the right paracardiac region (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Pathology;
     
     
  • Figure 5
    Coronal T1 MRI
     

    Coronal T1 MRI pre-contrast with fat -aturation shows diffuse hypointensity around the liver corresponding to the finding on CT (arrows).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Pathology;

    Coronal T1 MRI post-contrast shows minimal patchy enhancement of the lesion.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Pathology;
     
     
  • Figure 6
    T2 Haste MRI
     

    Coronal MRI T2 Haste-fs shows the hyperintense perihepatic masses with septations (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Pathology;

    Axial MRI T2 Haste shows calcification (long arrow) and septae (short arrow).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Pathology;
     
     
Diffuse tissue thickening is demonstrated around the liver (white arrow) containing calcification (red arrow).
 
This shows the density of the surrounding soft tissue (40 HU).
 
Coronal CT post-contrast porto-venous phase demonstrates the abnormal tissue thickening around the liver and the hepatorenal recess.
 
Axial CT post-contrast porto-venous phase shows diffuse tissue thickening in the right paracardiac region (arrow).
 
Coronal T1 MRI pre-contrast with fat -aturation shows diffuse hypointensity around the liver corresponding to the finding on CT (arrows).
 
Coronal T1 MRI post-contrast shows minimal patchy enhancement of the lesion.
 
Coronal MRI T2 Haste-fs shows the hyperintense perihepatic masses with septations (arrow).
 
Axial MRI T2 Haste shows calcification (long arrow) and septae (short arrow).
 
 
 
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