Type:
Educational Exhibit
Keywords:
CT, MR, Abdomen, Diagnostic procedure, Haemangioma, CAD
Authors:
A. Alam; BANGALORE/IN
DOI:
10.1594/ecr2011/C-0013
Imaging findings OR Procedure details
Radiograph of the pelvis revealed a soft tissue density lesion occupying the pelvic cavity causing complete obliteration of rectal and urinary bladder outlines with multiple,
well defined,
calcified,
round to oval nodular opacities seen scattered in the pelvis overlying the pelvic soft tissue lesion [Fig 10].
Most of these calcific opacities showed central lucency.
She underwent a contrast enhanced CT scan of the abdomen and pelvis which revealed an irregular,
lobulated,
infiltrating,
heterogeneously enhancing mass lesion extending anteriorly to involve the posterosuperior walls of the urinary bladder along with circumferential wall thickening of rectum causing narrowing of the lumen.
This lesion was seen to involve the perineum and the labia and the pelvic musculature on the left side [Fig 1,
2,
3,] .
On MR imaging of the abdomen and pelvis,
the lesion appeared as a lobulated,
infiltrating mass with extensions similar to those found on CT.
These lesions appeared mildly hyperintense on T1WI and brightly hyperintense on T2WI [Fig 4,
5,
6,
7,
8,].
There were multiple loculi of blood-fluid levels also.
Post contrast MRI study revealed delayed and intense homogeneous enhancement [Fig 9].
Based on the imaging findings she was diagnosed as a case of diffuse haemangiomatosis which was the cause of haematuria.