MRI artefact (flow void between urinary bladder and bladder diverticulum)

Case contributed by Dr Chris O'Donnell

Presentation

Severe right hip pain. MRI for evaluation of possible osteoarthritis. Long term urinary symptoms

Patient Data

Age: 65
Gender: Male

Preliminary coronal imaging of the pelvis prior to dedicated hip sequences

Modality: MRI

Thick-walled bladder with a left paracystic fluid-filled mass showing a "flow void" - black streak passing between the bladder and the cystic mass.

US undertaken for confirmation of MRI findings

Modality: Ultrasound

Ultrasound confirms a thick-walled trabeculated bladder with multiple small right-sided diverticula (at least 3) and the large left diverticulum identified on MRI.

Case Discussion

Moving protons in water cause so-called "flow artefact" on T2 weighted images since they are not refocused by the 180 degree spin echo pulse.  This artefact can be useful to determine patency of tubular structures such as blood vessels, aqueduct of Sylvius and in this case to confirm that a left paracystic mass is connected to the bladder via a flow void of urine passing between the true bladder lumen and a diverticulum.

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Case Information

rID: 50423
Case created: 4th Jan 2017
Last edited: 4th Jan 2017
System: Urogenital
Inclusion in quiz mode: Included

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