Intraabdominal lymphangiomas are rare lesions that can be difficult to diagnose. We report ultrasonographic (US), computed tomographic (CT), magnetic resonance (MR) imaging, and pathologic findings in a patient with cavernous lymphangioma originating in the gallbladder. US and CT showed a multiseptated cystic mass in the gallbladder fossa. T2-weighted MR images and MR cholangiopancreatography depicted the lumen of the gallbladder and thin septations of the cystic mass, which originated in the gallbladder. Endoscopic retrograde cholangiopancreatography showed no apparent communication between the cyst and the gallbladder. Histologic findings obtained during the operation were consistent with cavernous lymphangioma. Its characteristic histology was observed in the subserosal layer of the gallbladder. This case is a rare instance of cavernous lymphangioma originating in the gallbladder preoperatively diagnosed by MR and MR cholangiopancreatography.
We present three cases of focal eosinophilic infiltration in the liver that mimicked hepatic malignancy on computed tomography during hepatic arteriography (CTHA) and computed tomography during arterial portography (CTAP). In all patients, focal eosinophilic liver infiltration appeared as a solitary nodule or as two nodules without hepatosplenomegaly and showed homogeneous hyperattenuation on CTHA and hypoattenuation on CTAP.
We report the magnetic resonance findings of an unusual hemangioma in the lesser omentum. A well-circumscribed, large mass was identified between the stomach and the left lobe of the liver, with compression of adjacent liver parenchyma. The mass showed low signal intensity (SI) on T1-weighted images, high SI on T2-weighted images with multiple septa, and slightly decreased SI on out-of-phase T1-weighted images. After gadolinium contrast administration, septa within the mass showed minimal enhancement on 30-s T1-weighted images and mild enhancement on 5-min T1-weighted images. The mass was histopathologically diagnosed as a cavernous hemangioma comprised of multiple vascular spaces, fibrotic tissue, and adipocytes.
The purpose of this study was to define the abnormal findings of the prostate and seminal tract on magnetic resonance (MR) imaging by using an endorectal coil in patients with suspected obstructive infertility. MR imaging of the seminal tract with an endorectal surface coil was performed on 20 consecutive patients who were suspected of having obstructive infertility. Diffuse atrophy of the seminal vesicles (SVs) was seen in eight patients (40%) and was the most prevalent abnormal finding. It was most often associated with an irregular thickening of the vasa deferentia and small prostate (n = 4; 20%). Other abnormal findings were two mullerian duct cysts; and four cases of the aplasia of SV and vasa deferentia, three of which were associated with rudimentary mesonephric duct. MR imaging of the seminal tract with an endorectal surface coil can clearly demonstrate the various abnormalities of the seminal tract in obstructive infertility.
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