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Fig. 21 | Insights into Imaging

Fig. 21

From: Primary and secondary tumors of the peritoneum: key imaging features and differential diagnosis with surgical and pathological correlation

Fig. 21

Peritoneal MRI depicting recurrence of a pseudomyxoma peritonei with high-grade histologic features, secondary to a perforated appendiceal mucinous neoplasm. Coronal (a) and axial (b) T2-weighted images show abundant hyperintense and multiseptated mucinous disease in the lesser sac (red arrows), that shows wide contact with the left suprahepatic vein, inferior vena cava, lesser gastric curvature and pancreas. c Diffusion-weighted image with intermediate b-value (b = 500) shows hyperintensity of the mucinous material (red arrows). Axial balanced turbo field echo sequence (d) and axial T1-weighted imaged with fat saturation after intravenous administration of gadolinium in the portal phase (e) show extension of mucinous disease toward the round ligament, with severe stenosis of left portal intrahepatic vein (yellow arrows) and peripheral and septal enhancement

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