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Incidental Findings on Renal MR Angiography

¹ Department of Radiology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905.

View larger version (54K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1 —Incidental vascular findings in 70-year-old woman. Sagittal oblique subvolume maximum-intensity-projection image from renal MR angiography data reveals 4.2-cm infrarenal abdominal aortic aneurysm. Note severe stenosis of origins of celiac and superior mesenteric arteries. Inferior mesenteric artery was not identified and was presumed to be thrombosed.

View larger version (44K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2A —Incidental vascular findings in 82-year-old man. Subvolume maximum-intensity-projection image from renal MR angiography reveals ulcerating plaques in infrarenal abdominal aorta and right common iliac artery. Note also focal severe stenosis of left renal artery and diffusely small right renal artery.

View larger version (118K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2B —Incidental vascular findings in 82-year-old man. Axial fat-saturated contrast-enhanced spoiled gradient-echo image shows ulcerating plaque (arrow) and right renal atrophy.

View larger version (131K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3A —Incidental renal cell carcinoma in 75-year-old man. Coronal single-shot fast spin-echo image (A) and axial contrast-enhanced fat-saturated spoiled gradient-echo image (B) from renal MR angiography reveal focal enhancing mass in right kidney. Renal cell carcinoma was confirmed at surgery.

View larger version (108K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3B —Incidental renal cell carcinoma in 75-year-old man. Coronal single-shot fast spin-echo image (A) and axial contrast-enhanced fat-saturated spoiled gradient-echo image (B) from renal MR angiography reveal focal enhancing mass in right kidney. Renal cell carcinoma was confirmed at surgery.

View larger version (137K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4A —Incidental pheochromocytoma in 75-year-old woman. Coronal single-shot fast spin-echo (A) and axial contrast-enhanced fat-saturated spoiled gradient-echo (B) images from renal MR angiography reveal heterogeneous enhancing right adrenal mass. In-phase and out-of-phase images were not consistent with adrenal adenoma. Pheochromocytoma was found at surgery.

View larger version (114K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4B —Incidental pheochromocytoma in 75-year-old woman. Coronal single-shot fast spin-echo (A) and axial contrast-enhanced fat-saturated spoiled gradient-echo (B) images from renal MR angiography reveal heterogeneous enhancing right adrenal mass. In-phase and out-of-phase images were not consistent with adrenal adenoma. Pheochromocytoma was found at surgery.

View larger version (157K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 5A —Incidental ovarian serous cystadenoma in 44-year-old woman. Coronal single-shot fast spin-echo image from renal transplant MR angiography examination reveals complex right adnexal cystic lesion adjacent to transplanted kidney.

View larger version (119K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 5B —Incidental ovarian serous cystadenoma in 44-year-old woman. Axial fat-saturated contrast-enhanced spoiled gradient-echo image reveals cystic adnexal lesion with small solid enhancing nodule (arrow). Serous cystadenoma was found at surgery.

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