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Figure 6. Postoperative MR appearance of recurrent enlarged adenoid tonsils in 10-year-old boy with Down syndrome. Transverse fast SE IR image (5000/34, echo train length of 12, 22-cm field of view, 6-mm section thickness with 2-mm gap, 256 x 192 matrix, two signals acquired) shows enlarged adenoids (A), which measured 20 mm in anterior-posterior diameter. Note central wedgelike defect (arrow) in adenoids, which is related to previous adenoidectomy.