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Case 5.11 

Case 5.11
Chapter:
Case 5.11
Author(s):

Christine U. Lee

, and James F. Glockner

DOI:
10.1093/med/9780199915705.003.0139
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date: 22 October 2019

51-year-old woman with a history of breast cancer

Axial fat-suppressed FSE T2-weighted images (Figure 5.11.1), axial diffusion-weighted images (b=100 s/mm2) (Figure 5.11.2), and axial portal venous phase postgadolinium 3D SPGR images (Figure 5.11.3) show multiple nodules in the liver and spleen. Hepatic lesions have increased signal intensity relative to liver, while the splenic lesions show decreased signal intensity compared with normal spleen on T2- and diffusion-weighted images. Most lesions show hypoenhancement compared with liver and spleen, although several hepatic lesions have central enhancement. Note also small enhancing lesions in an upper lumbar vertebral body....

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