Magnetic resonance angiography (MRA) of the abdominal aorta was performed in 36 patients using the "bright-blood" technique on the basis of a series of flow-compensated breath-hold 2 D-GE pulse sequences. Diverse diseases included complete occlusion, stenosis, atherosclerotic or dissecting aneurysm and renal artery stenosis. Coronal and axial projection angiograms [maximum intensity projection (MIP) algorithm] and individual GE images were compared with DSA and contrast-enhanced computed tomography (CT). Our data showed a good correlation of MR and digital subtraction arteriography (DSA) or CT resp. in all cases, when both rotating MIP angiograms and individual GE images were analyzed. Thus, MR is suggested to be a useful noninvasive diagnostic method for the abdominal aorta, particularly in preoperative staging of aneurysms, aortic occlusive disease, and stenosis of the proximal main renal artery. Drawbacks of the method are a signal loss in slow or turbulent flow conditions, and unsatisfactory spatial resolution in small vessels.
The case of a 38-year old man with a lipoma of the left cerebellopontine angle is presented. While the clinical signs of that tumour are unspecific, an exact diagnosis is possible by CT and MRI. As in other reported cases only an incomplete removal of the tumours was made because of the adherence of the lipoma to the nerves of the CPA.
Three female patients with histories of lymphangiomyomatosis are reported. Each was examined by means of high resolution computerized tomography. All three cases showed homogeneous distribution of cystic lesions in the pulmonary parenchyma. This pattern may be regarded as typical and may even be pathognomonic. In two patients lymphomas of the retroperitoneal space and renal masses were found.
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