Fig. 5
From: The tip of the iceberg: lipomatous tumours presenting as abdominal or pelvic wall hernias
Top panel: Axial T1-weighted image of the upper abdomen: arrows delineate the defect in the anterior abdominal wall. The hernia sac contains fat with internal striations. Bottom left panel: Sagittal T1-weighted image of the upper abdomen: demonstrates an epigastric hernia with the hernial neck outlined by the red arrows. The hernial sac contents are of fat signal intensity and histology proved to be in keeping with ALT. Bottom right panel: Sagittal T1 TIRM-weighted image of the upper abdomen: Red arrows outline the epigastric hernia which demonstrates suppression on fat saturated sequences confirming the presence of a fat containing tumour. The presence of high signal septae suggests an atypical lipomatous tumour radiologically