EURORAD ESR

Case 15007

Diaphragmatic angioma: a rare tumour

Author(s)
Alejandro Cernuda García, Alicia Mesa Álvarez, Pedro González Filgueira, Ana Fernández del Valle, Verónica Soto Verdugo, Rafael Menéndez del Llano Ortega

Spain; Email:alexcernuda89@gmail.com
 
Patient
male, 55 year(s)
 
 
  • Figure 1
    Diaphragmatic angioma. CT images.
     

    Axial CT. Great mass located in right posterior subpleural space, homogeneous with attenuation similar to that of muscle and non invasive.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Haemangioma;

    Coronal CT. Great mass located in right posterior subpleural space, homogeneous with attenuation similar to that of muscle and non invasive.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Haemangioma;

    Sagittal CT. Great mass located in right posterior subpleural space, homogeneous with attenuation similar to that of muscle and non invasive.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Haemangioma;
     
     
  • Figure 2
    Diaphragmatic angioma. MRI images.
     

    On T2WI, haemangiomas have very high signal intensity compared to fat.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;

    On T2WI, haemangiomas have very high signal intensity compared to fat.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;
     
     
  • Figure 3
    T1C+ (Gd) dynamic MRI.
     

    Non contrast Phase. T1 C + (Gd): often shows peripheral nodular discontinuous enhancement which progresses centripetally (inward) on delayed images. Haemangiomas tend to retain contrast on delayed (>5 minutes)...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Haemangioma;

    Arterial phase. T1 C + (Gd): often shows peripheral nodular discontinuous enhancement which progresses centripetally (inward) on delayed images. Haemangiomas tend to retain contrast on delayed (>5 minutes)...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Haemangioma;

    Portal venous phase. T1 C + (Gd): often shows peripheral nodular discontinuous enhancement which progresses centripetally (inward) on delayed images. Haemangiomas tend to retain contrast on delayed (>5 minutes)...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Haemangioma;

    Delayed phase. T1 C + (Gd): often shows peripheral nodular discontinuous enhancement which progresses centripetally (inward) on delayed images. Haemangiomas tend to retain contrast on delayed (>5 minutes)...

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;
     
     
  • Figure 4
    Dynamic MRI
     

    Dynamic MRI Gd:This tumor has a progressive and persistent enhancement (type 1).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;

    Dynamic MRI Gd:This tumor has a progressive and persistent enhancement (type 1).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;
     
     
  • Figure 5
    DWI MRI
     

    DWI: hyperintense on diffusion-weighted imaging (DWI) and mostly hyperintense on ADC map.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;

    DWI: hyperintense on diffusion-weighted imaging (DWI) and mostly hyperintense on ADC map.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;
     
     
  • Figure 6
    Fat suppression and gradient echo sequences.
     

    Fat suppression and gradient echo sequences: No fat or hemoglobin degradation products are identified.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;

    Fat suppression and gradient echo sequences: No fat or hemoglobin degradation products are identified.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;

    Fat suppression and gradient echo sequences: No fat or hemoglobin degradation products are identified.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;

    Fat suppression and gradient echo sequences: No fat or hemoglobin degradation products are identified.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Education; Special Focus: Haemangioma;
     
     
Axial CT. Great mass located in right posterior subpleural space, homogeneous with attenuation similar to that of muscle and non invasive.
 
Coronal CT. Great mass located in right posterior subpleural space, homogeneous with attenuation similar to that of muscle and non invasive.
 
Sagittal CT. Great mass located in right posterior subpleural space, homogeneous with attenuation similar to that of muscle and non invasive.
 
On T2WI, haemangiomas have very high signal intensity compared to fat.
 
On T2WI, haemangiomas have very high signal intensity compared to fat.
 
Non contrast Phase. T1 C + (Gd): often shows peripheral nodular discontinuous enhancement which progresses centripetally (inward) on delayed images. Haemangiomas tend to retain contrast on delayed (>5 minutes) contrast-enhanced images.
 
Arterial phase. T1 C + (Gd): often shows peripheral nodular discontinuous enhancement which progresses centripetally (inward) on delayed images. Haemangiomas tend to retain contrast on delayed (>5 minutes) contrast-enhanced images.
 
Portal venous phase. T1 C + (Gd): often shows peripheral nodular discontinuous enhancement which progresses centripetally (inward) on delayed images. Haemangiomas tend to retain contrast on delayed (>5 minutes) contrast-enhanced images.
 
Delayed phase. T1 C + (Gd): often shows peripheral nodular discontinuous enhancement which progresses centripetally (inward) on delayed images. Haemangiomas tend to retain contrast on delayed (>5 minutes) contrast-enhanced images.
 
Dynamic MRI Gd:This tumor has a progressive and persistent enhancement (type 1).
 
Dynamic MRI Gd:This tumor has a progressive and persistent enhancement (type 1).
 
DWI: hyperintense on diffusion-weighted imaging (DWI) and mostly hyperintense on ADC map.
 
DWI: hyperintense on diffusion-weighted imaging (DWI) and mostly hyperintense on ADC map.
 
Fat suppression and gradient echo sequences: No fat or hemoglobin degradation products are identified.
 
Fat suppression and gradient echo sequences: No fat or hemoglobin degradation products are identified.
 
Fat suppression and gradient echo sequences: No fat or hemoglobin degradation products are identified.
 
Fat suppression and gradient echo sequences: No fat or hemoglobin degradation products are identified.
 
 
 
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