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AJR Teaching File: Necrotic Mass Invading the Heart

Alvin C. Silva1

1 Department of Radiology, Mayo Clinic Scottsdale, 13400 E Shea Blvd., Scottsdale, AZ 85259


Figure 1
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  		Fig. 1A —43-year-old woman with uterine leiomyosarcoma metastases. Contiguous contrast-enhanced axial CT images show large left pericardial mass (arrows) with transvenous extension (arrowheads, B).

 

Figure 2
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  		Fig. 1B —43-year-old woman with uterine leiomyosarcoma metastases. Contiguous contrast-enhanced axial CT images show large left pericardial mass (arrows) with transvenous extension (arrowheads, B).

 

Figure 3
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  		Fig. 1C —43-year-old woman with uterine leiomyosarcoma metastases. Coronal T2-weighted MR image shows hyperintense intrapelvic (long arrow) and left thigh (short arrow) metastases.

 

Figure 4
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  		Fig. 1D —43-year-old woman with uterine leiomyosarcoma metastases. Spot image from small-bowel follow-through examination shows classic appearance of intussusception (arrows) as sequela of intrapelvic metastasis.

 

Figure 5
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  		Fig. 1E —43-year-old woman with uterine leiomyosarcoma metastases. Contrast-enhanced axial T1-weighted MR images show heterogeneous hypervascular enhancement of metastatic lead point (arrow, E) and leiomyosarcoma metastasis in left thigh (arrow, F).

 

Figure 6
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  		Fig. 1F —43-year-old woman with uterine leiomyosarcoma metastases. Contrast-enhanced axial T1-weighted MR images show heterogeneous hypervascular enhancement of metastatic lead point (arrow, E) and leiomyosarcoma metastasis in left thigh (arrow, F).

 

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