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MRI Findings of Uterine Lipoleiomyoma Correlated with Pathologic Findings

Kazuhiro Kitajima1,2, Yasushi Kaji1, Kazufumi Imanaka3, Ryo Sugihara2 and Kazuro Sugimura2

1 Department of Radiology, Dokkyo Medical University School of Medicine, Mibu, Japan.
2 Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan.
3 Department of Radiology, Nishi-Kobe Medical Center, Kobe, Japan.


Figure 1
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  		Fig. 1A —55-year-old woman with irregular menstruation (typical case). Sagittal spin-echo T1-weighted MR image (TR/TE, 530/10) shows 55 x 60 mm, well-circumscribed mass in myometrium of corpus uteri as hyperintense with hypointense bands.

 

Figure 2
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  		Fig. 1B —55-year-old woman with irregular menstruation (typical case). Sagittal turbo spin-echo T2-weighted MR image (3,570/93) shows mass as hyperintense with hypointense bands and chemical shift artifact along frequency direction in mass (arrows).

 

Figure 3
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  		Fig. 1C —55-year-old woman with irregular menstruation (typical case). Fat-suppression chemical shift selective sagittal spin-echo T1-weighted MR image (530/10) shows signal suppression of hyperintense region on T1-weighted image (A).

 

Figure 4
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  		Fig. 1D —55-year-old woman with irregular menstruation (typical case). Macrograph of resected specimen shows abundant mature lipocytes intermixed with smooth muscle cells.

 

Figure 5
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  		Fig. 2A —65-year-old woman with abdominal pressure (typical case). Axial spin-echo T1-weighted MR image (TR/TE, 600/13) shows 85 x 90 mm, well-circumscribed mass in myometrium of corpus uteri as hyperintense with hypointense amorphous bands.

 

Figure 6
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  		Fig. 2B —65-year-old woman with abdominal pressure (typical case). Axial turbo spin-echo T2-weighted MR image (4,000/106) shows mass as hyperintense with hypointense amorphous bands and chemical shift artifact along frequency direction in mass (arrows).

 

Figure 7
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  		Fig. 2C —65-year-old woman with abdominal pressure (typical case). Fat-suppression chemical shift selective axial spin-echo T1-weighted MR image (500/13) shows signal suppression of hyperintense region on T1-weighted image (A).

 

Figure 8
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  		Fig. 2D —65-year-old woman with abdominal pressure (typical case). Fat-suppressed, gadolinium-enhanced axial spin-echo T1-weighted MR image (500/13) shows strong enhancement of amorphous bands.

 

Figure 9
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  		Fig. 2E —65-year-old woman with abdominal pressure (typical case). Macrograph of resected specimen shows abundant mature lipocytes intermixed with smooth muscle cells.

 

Figure 10
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  		Fig. 3A —64-year-old woman with abdominal pressure (atypical case). Axial spin-echo T1-weighted MR image (TR/TE, 650/12) shows 9 x 10 cm, well-circumscribed mass in myometrium of corpus uteri as slightly hypointense with slightly hyperintense area and very hyperintense spots (arrows).

 

Figure 11
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  		Fig. 3B —64-year-old woman with abdominal pressure (atypical case). Axial turbo spin-echo T2-weighted MR image (3,500/96) shows mass as heterogeneously mixed hypo- and hyperintensity and chemical shift artifact along frequency direction in mass (arrow).

 

Figure 12
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  		Fig. 3C —64-year-old woman with abdominal pressure (atypical case). Fat-suppressed chemical shift selective axial spin-echo T1-weighted MR image (650/12) shows signal suppression of very hyperintense spots (arrows) on T1-weighted image (A).

 

Figure 13
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  		Fig. 3D —64-year-old woman with abdominal pressure (atypical case). Macrograph of resected specimen shows smooth muscle cells intermixed with small volume of mature lipocytes.

 

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