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Insights into Imaging
Fig. 10 | Insights into Imaging

Fig. 10

From: Non-neoplastic diseases of the fallopian tube: MR imaging with emphasis on diffusion-weighted imaging

Fig. 10

Pyosalpinx in a 47-year-old woman. (a) Sagittal T2-weighted and (b) coronal fat-suppressed T2-weighted images show distended left fallopian tube with low to intermediate signal intensity content (white arrows). (c) Axial DW image (b = 800 s/mm2) and (d) corresponding ADC map show that the lesion’s content demonstrates restricted diffusion with high signal intensity (white arrow) on DWI image and low signal intensity (white arrow) on ADC map, a finding consistent with purulent content. (e) Sagittal and (f) coronal contrast-enhanced fat-suppressed T1-weighted images show the thickened, enhancing wall of the dilated tube (white arrows). (g, h) Histologically, leukocytes, histiocytes, few lymphocytes and plasma cells were evident within the wall (H&E 80X). Tubaric lumen showed fibrin strands, leukocytes, and amorphous material (H&E 300X)

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