EURORAD ESR

Case 15069

Labial Varicocoele Mascquerading As A Malignant Neoplasm

Author(s)
Dr. Anuradha Rao1, Dr. Divya Lakshmi2, Dr. Raghuram P3

(1) Assistant Professor
(2) Senior Resident
(3) Professor
Department of Radiology,
Kidwai Memorial Institue of Oncology,
Bangalore, India
Email:anu78rao@gmail.com
 
Patient
female, 65 year(s)
 
 
  • Figure 1
    T1 MRI

    Fig.1 Axial T1 W image of the lower pelvis at level of mid thigh, shows a large hypointense mass with serpegenous areas and central hematoma ( arrow)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Varices;
     
     
  • Figure 2
    T2 MRI

    Fig.2 Coronal T2 W image of pelvis shows a large hyperintense mass of dilated vessels( arrow) and seen arising from right labial fold( arrow )

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Varices;
     
     
  • Figure 3
    STIR MRI

    Fig3. Axial T2-STIR image shows hyperintensity and no fat suppression.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Varices;
     
     
  • Figure 4
    Contrast MRI

    Fig.4 Coronal T1FS post contrast image shows contrast filling within the vessels in the right labial mass.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Varices;
     
     
  • Figure 5
    Radiograph

    Fig 5: radiograph of the pelvic mass showing multiple phleboliths within ( arrow)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Varices;
     
     
  • Figure 6
    ultrasound

    Fig.6 High resolution ultrasound image of the mass with anechoic areas within representing vascular channels (arrow)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Varices;
     
     
  • Figure 7
    doppler

    Fig 7. Colour Doppler image of the mass showing monophasic pattern suggesting venous flow.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Spectral Doppler; Procedure: Diagnostic procedure; Special Focus: Varices;
     
     
Fig.1 Axial T1 W image of the lower pelvis at level of mid thigh, shows a large hypointense mass with serpegenous areas and central hematoma ( arrow)
 
Fig.2 Coronal T2 W image of pelvis shows a large hyperintense mass of dilated vessels( arrow) and seen arising from right labial fold( arrow )
 
Fig3. Axial T2-STIR image shows hyperintensity and no fat suppression.
 
Fig.4 Coronal T1FS post contrast image shows contrast filling within the vessels in the right labial mass.
 
Fig 5: radiograph of the pelvic mass showing multiple phleboliths within ( arrow)
 
Fig.6 High resolution ultrasound image of the mass with anechoic areas within representing vascular channels (arrow)
 
Fig 7. Colour Doppler image of the mass showing monophasic pattern suggesting venous flow.
 
 
 
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