AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by De Backer, A. I.
Right arrow Articles by Parizel, P. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by De Backer, A. I.
Right arrow Articles by Parizel, P. M.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

MRI Features of Focal Splenic Lesions in Patients with Disseminated Tuberculosis

Adelard I. De Backer1,2, Filip M. Vanhoenacker1, Koenraad J. Mortelé3, Ilse J. Vanschoubroeck4, Bart L. De Keulenaer4,5 and Paul M. Parizel1

1 Department of Radiology, Universitair Ziekenhuis Antwerpen, University of Antwerp, B-2650 Edegem, Belgium.
2 Present address: Department of Radiology, General Hospital Sint-Lucas, Groenebriel 1, Ghent B-9000, Oost-Vlaanderen, Belgium.
3 Department of Radiology, Division of Abdominal Imaging and Intervention, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.
4 Department of Internal Medicine, Ziekenhuisnetwerk Antwerpen, B-2060 Antwerp, Belgium.
5 Present address: Intensive Care Unit, Royal Darwin Hospital, Rocklands, Tiwi, Northern Territory, Australia.


Figure 1
View larger version (90K):

[in a new window]
  		Fig. 1A —36-year-old man with miliary tuberculosis, splenic volume of 371 cm3, and tuberculous focal splenic lesions (patient 4 in Table 1). T2-weighted image shows multiple nodular lesions (arrows) of variable size that are hyperintense compared with adjacent splenic tissue.

 

Figure 2
View larger version (94K):

[in a new window]
  		Fig. 1B —36-year-old man with miliary tuberculosis, splenic volume of 371 cm3, and tuberculous focal splenic lesions (patient 4 in Table 1). T1-weighted image shows lesions (arrow) as hyperintense.

 

Figure 3
View larger version (117K):

[in a new window]
  		Fig. 1C —36-year-old man with miliary tuberculosis, splenic volume of 371 cm3, and tuberculous focal splenic lesions (patient 4 in Table 1). Arterial phase gadolinium-enhanced T1-weighted image with fat suppression shows peripheral enhancement (arrows).

 

Figure 4
View larger version (123K):

[in a new window]
  		Fig. 1D —36-year-old man with miliary tuberculosis, splenic volume of 371 cm3, and tuberculous focal splenic lesions (patient 4 in Table 1). Equilibrium phase image shows lesions with peripheral enhancement and central nonenhancing area (arrow) and lesion with gradual complete fill-in (arrowhead). Associated tuberculous lymphadenopathy is noted at liver hilum.

 

Figure 5
View larger version (133K):

[in a new window]
  		Fig. 2A —50-year-old man presenting with signs and symptoms of miliary tuberculosis as manifestation of AIDS disease. Tuberculous splenic involvement is characterized by mild splenomegaly and multiple small focal splenic lesions. Portal venous phase image shows lesions as sharply delineated hypointense lesions.

 

Figure 6
View larger version (134K):

[in a new window]
  		Fig. 2B —50-year-old man presenting with signs and symptoms of miliary tuberculosis as manifestation of AIDS disease. Tuberculous splenic involvement is characterized by mild splenomegaly and multiple small focal splenic lesions. On equilibrium phase image, gradual peripheral contrast enhancement is noted.

 

Figure 7
View larger version (115K):

[in a new window]
  		Fig. 3A —54-year-old man with AIDS with splenomegaly (splenic volume: 876.5 cm3) and splenic lesions diffusely scattered throughout spleen (patient 3 in Table 1). T2-weighted (A) and T1-weighted (B) images with fat suppression show spleen as heterogeneous.

 

Figure 8
View larger version (111K):

[in a new window]
  		Fig. 3B —54-year-old man with AIDS with splenomegaly (splenic volume: 876.5 cm3) and splenic lesions diffusely scattered throughout spleen (patient 3 in Table 1). T2-weighted (A) and T1-weighted (B) images with fat suppression show spleen as heterogeneous.

 

Figure 9
View larger version (137K):

[in a new window]
  		Fig. 3C —54-year-old man with AIDS with splenomegaly (splenic volume: 876.5 cm3) and splenic lesions diffusely scattered throughout spleen (patient 3 in Table 1). Dynamic gadolinium-enhanced images show heterogeneous enhancement of spleen with focal lesions characterized by peripheral enhancement.

 

Figure 10
View larger version (130K):

[in a new window]
  		Fig. 3D —54-year-old man with AIDS with splenomegaly (splenic volume: 876.5 cm3) and splenic lesions diffusely scattered throughout spleen (patient 3 in Table 1). Dynamic gadolinium-enhanced images show heterogeneous enhancement of spleen with focal lesions characterized by peripheral enhancement.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2006 by the American Roentgen Ray Society.