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Fig. 1A —67-year-old woman with mucinous appendiceal neoplasm. Delayed
gadolinium-enhanced image shows marked enhancement (level 4) of bulky tumor
encasing stomach, spleen, and splenic flexure (long white arrows).
Enhancing right subphrenic tumor (short white arrows) and tumor in
superior recess of lesser sac (black arrow) are also noted. MRI
findings indicate peritoneal mucinous carcinomatosis tumor. Delayed
enhancement of cellular tumor on gadolinium-enhanced MR images markedly
improves tumor conspicuity in pseudomyxoma peritonei syndrome and
distinguishes tumor from nonenhancing mucin and ascites.
