File:Atypical retroperitoneal lymphocoeles with large leiomyoma of uterus (Radiopaedia 32084-33027 Coronal T2 4).jpg

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Description	Radiopaedia case ID: 32084 Image ID: 9027188 Image stack position: 4/23 Plane projection: Coronal Aux modality: T2 Study findings: Non-contrast MRI study of pelvis reveals markedly enlarged uterus with a large globular heterogenous hypervascular sharply demarcated leiomyoma arising from posterior body and fundus of uterus. A concurrent large cystic lobulated longitudinally oriented retroperitoneal lesion with thin septae and loculations is seen, which is distinctly separate from uterine margin (helps to rule out mesenchymal malignancy). Dilated tortous flow voids are seen through it. A similar smaller cystic lesion was seen at left adnexa. Modality: MRI System: Gynaecology Findings: CT reveals markedly enlarged uterus with a large lobulated heterogenously enhancing solid mass lesion arising from posterior body and fundus of uterus, appearance in keeping with leiomyoma. Also evident is a large non-enhancing cystic lobulated retroperitoneal lesion extending from lower pole of right kidney up to the right adnexa, inseparable from the right uterine margin. A similar smaller cystic lesion was seen at left adnexa . Right pleural effusion is seen. An incidental hepatic hemangioma is observed.
Date	Published: 12th Nov 2014
Source	https://radiopaedia.org/cases/atypical-retroperitoneal-lymphocoeles-with-large-leiomyoma-of-uterus
Author	Nafisa Shakir Batta
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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