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Radiology, Vol 180, 81-83, Copyright © 1991 by Radiological Society of North America

ARTICLES

High-signal-intensity rim surrounding uterine leiomyomas on MR images: pathologic correlation

RL Mittl Jr, IT Yeh and HY Kressel
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.

A high-intensity rim surrounding uterine leiomyomas was identified on T2-weighted magnetic resonance (MR) images in five of 13 patients with histopathologically confirmed leiomyomas. These peripheral high- intensity rims were not associated with subject age or with size, location, or degeneration of the leiomyomas. Histologic examination revealed markedly dilated lymphatic vessels, dilated veins, edema, or a combination of these features to correspond to the location of the high- intensity rims. These benign causes of high intensity in the myometrium should not be confused with clinically important processes such as adenomyosis or invasion by endometrial carcinoma.


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