Uterine leiomyoma with fatty degeneration
Presentation
Dull pelvic pain.
Patient Data
Age: 70
Gender: Female
From the case:
Uterine leiomyoma with fatty degeneration
CT
C+ delayed
Sharply delineated, round mass above the bladder with peripheral enhancement and fat inclusions.
From the case:
Uterine leiomyoma with fatty degeneration
MRI
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T2 fat sat
The lesion is predominantly hypointense on T2. There are hyperintense Inclusions on T1 GRE, which show a signal loss on the opposed-phase images.
Case Discussion
There are several types of degeneration, that can occur in a leiomyoma. Besides calcification, there are hyaline (>60%), cystic (approximately 4%), myxoid, red (haemorrhagic) and fatty degeneration, the last two being the least frequent 1,2.
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