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Fig. 22 | Insights into Imaging

Fig. 22

From: Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis—part I: corpus luteum and haemorrhagic ovarian cysts, genital causes of haemoperitoneum and adnexal torsion

Fig. 22

MRI of pelvic congestion syndrome in a 26-year-old woman with chronic pelvic pain and a recent severe exacerbation. Oblique-coronal T2-weighted image (a) shows ectatic vascular structures in the parametria, showing predominantly high signal intensity (arrowheads); in the left parametrium, some varices (arrow) display low signal intensity. Corresponding oblique-coronal gadolinium-enhanced fat-suppressed T1-weighted image (b) demonstrates vascular enhancement of the abovementioned structures (arrowheads), thus confirming pelvic varices

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