EURORAD ESR

Case 9608

Renal angiomyolipoma extending to inferior vena cava

Author(s)
Matos H, Patrício H, Coelho P.

Centro Hospitalar de Coimbra, Portugal
 
Patient
female, 49 year(s)
 
 
  • Figure 1
    MRI - T1-weighted imaging
     

    Axial T1-weighted imaging without (a,b) and with (c) fat suppression demonstrating well defined renal mass, with high signal intensity, presenting signal loss in fat-suppression sequence.

     
    Area of Interest: Kidney; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T1-weighted imaging without (a,b) and with (c) fat suppression demonstrating well defined renal mass, with high signal intensity, presenting signal loss in fat-suppression sequence.

     
    Area of Interest: Kidney; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T1-weighted imaging without (a,b) and with (c) fat suppression demonstrating well defined renal mass, with high signal intensity, presenting signal loss in fat-suppression sequence.

     
    Area of Interest: Kidney; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    MRI - T2-weighted imaging
     

    Coronal (a) and axial (b) T2 weighted imaging without and with (c) fat supression demonstrating well defined renal mass, with intermediate signal intensity, presenting signal loss in fat-suppression sequence.

     
    Area of Interest: Kidney; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal (a) and axial (b) T2 weighted imaging without and with (c) fat supression demonstrating well defined renal mass, with intermediate signal intensity, presenting signal loss in fat-suppression sequence.

     
    Area of Interest: Kidney; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal (a) and axial (b) T2 weighted imaging without and with (c) fat supression demonstrating well defined renal mass, with intermediate signal intensity, presenting signal loss in fat-suppression sequence.

     
    Area of Interest: Kidney; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    MRI after intravenous gadolinium administration

    Axial T1-weighted imaging with fat suppression after gadolinium administration, without significant enhancement.

     
    Area of Interest: Kidney; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    MRI at level of renal vein
     

    Axial T1 (a) and T2 weighted images (b) presenting extension of lesion to left renal vein (arrow).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T1 (a) and T2 weighted images (b) presenting extension of lesion to left renal vein (arrow).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    MRI at level of inferior vena cava
     

    Axial T1 (a), T2 (b) and T1 weighted images with fat supression (c) demonstrating the lesion within within inferior vena cava (arrow).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T1 (a), T2 (b) and T1 weighted images with fat supression (c) demonstrating the lesion within within inferior vena cava (arrow).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T1 (a), T2 (b) and T1 weighted images with fat supression (c) demonstrating the lesion within within inferior vena cava (arrow).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Axial T1-weighted imaging without (a,b) and with (c) fat suppression demonstrating well defined renal mass, with high signal intensity, presenting signal loss in fat-suppression sequence.
 
Axial T1-weighted imaging without (a,b) and with (c) fat suppression demonstrating well defined renal mass, with high signal intensity, presenting signal loss in fat-suppression sequence.
 
Axial T1-weighted imaging without (a,b) and with (c) fat suppression demonstrating well defined renal mass, with high signal intensity, presenting signal loss in fat-suppression sequence.
 
Coronal (a) and axial (b) T2 weighted imaging without and with (c) fat supression demonstrating well defined renal mass, with intermediate signal intensity, presenting signal loss in fat-suppression sequence.
 
Coronal (a) and axial (b) T2 weighted imaging without and with (c) fat supression demonstrating well defined renal mass, with intermediate signal intensity, presenting signal loss in fat-suppression sequence.
 
Coronal (a) and axial (b) T2 weighted imaging without and with (c) fat supression demonstrating well defined renal mass, with intermediate signal intensity, presenting signal loss in fat-suppression sequence.
 
Axial T1-weighted imaging with fat suppression after gadolinium administration, without significant enhancement.
 
Axial T1 (a) and T2 weighted images (b) presenting extension of lesion to left renal vein (arrow).
 
Axial T1 (a) and T2 weighted images (b) presenting extension of lesion to left renal vein (arrow).
 
Axial T1 (a), T2 (b) and T1 weighted images with fat supression (c) demonstrating the lesion within within inferior vena cava (arrow).
 
Axial T1 (a), T2 (b) and T1 weighted images with fat supression (c) demonstrating the lesion within within inferior vena cava (arrow).
 
Axial T1 (a), T2 (b) and T1 weighted images with fat supression (c) demonstrating the lesion within within inferior vena cava (arrow).
 
 
 
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