File:Bridging vessel sign - pedunculated subserosal leiomyoma (Radiopaedia 86109-102055 Sagittal T2 13).jpg

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Description	Radiopaedia case ID: 86109 Image ID: 54258419 Image stack position: 13/35 Plane projection: Sagittal Aux modality: T2 Study findings: There is a large lobulated midline pelvic soft-tissue mass, compressing the dome of the urinary bladder. It appears isointense to the surrounding soft-tissues on T1-weighted images, iso-to-hypointense on T2 and demonstrates a relatively heterogeneous pattern of enhancement on the contrasted study. This mass is in very close proximity to the anterior surface of the uterine fundus, connected to the uterus by a short pedicle, with multiple tiny tortuous feeding vessels extending from the uterine body to its center. Findings are consistent with a large pedunculated subserosal uterine leiomyoma. Two smaller intramural and submucosal uterine fibroids are evident. A moderate amount of pelvic free fluid is present. Modality: MRI System: Gynaecology Findings: A large soft tissue pelvic mass is identified on ultrasound, demonstrating a heterogeneous echotexture, closely adherent to the adjacent uterine fundus, with internal and peripheral vascularity on color Doppler.
Date	Published: 24th Jan 2021
Source	https://radiopaedia.org/cases/bridging-vessel-sign-pedunculated-subserosal-leiomyoma
Author	Eid Kakish
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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	Date/Time	Thumbnail	Dimensions	User	Comment
current	02:52, 24 June 2021		512 × 512 (110 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:86109 (batch #5191-166 D13)

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