Neuroendocrine Tumor (Focal Pyelonephritis)
February 3, 2020
Male Genitourinary Malignancies
February 3, 2020

Female Gynaecological Malignancies


Case 1: Endometrial Carcinoma


Case History:

53 year female with post-menopausal bleeding.


Findings:

The uterine zonal anatomy is depicted on MRI with high soft-tissue resolution. In this case, T2W axial(A), Sagittal(B) and Coronal( C) images of the pelvis reveal a soft tissue lesion of altered intensity filling up the endometrial cavity (red arrow) showing mild heterogeneous enhancement on Post-contrast VIBE axial(D), Sagittal (E) and FDG uptake on PET MR fused (F) images. The junctional zone appearing hypointense on  2 W (upper row) is maintained and no demonstrable myometrial infiltration suggesting a Stage 1A ENDOMETRIAL CARCINOMA.


Case 2: Ca Ovary


Case History:

65 year old female referred for FDG PET / MRI to r/o neoplasia in view of her presenting symptoms of post cerebellar syndrome.


Findings:

There was incidental detection of an FDG avid left Tubo ovarian mass (A, B) and an avid left paraaortic node(C). TAH and BSO were done and HPE was Carcinoma Ovary with solitary LN metastasis (T1N1).


Case 3: Cervical Cancer


Case History:

48 year female with irregular bleeding PV.


Findings:

T2W axial(A), Coronal( B) and Sagittal( C)images of the pelvis and the corresponding PET/MRI fused images (D, E, F) showing a metabolically active soft tissue mass in the uterine cervix involving the adjoining ower uterine corpus on the left side, infiltrating the left parametrium (black arrow in A) and inferiorly upper 1/3 of vaginal wall and subcentimeter FDG avid right external iliac node which on MR would be considered nonspecific owing to their size but were considered suspicious owing to their FDG uptake. Wherein MR provided accurate T staging its combination with PET yielded better N staging.


Case 4: Endometriotic Cyst Left Ovary


Case History:

48 year female with raised CA-125 and complex left ovarian cyst on ultrasound


Findings:

A non-enhancing cystic lesion is seen in the left ovary which appears hyperintense on T1W images (white arrow) with shading sign-on T2W images (black arrow) s/o ENDOMETRIOTIC CYST LEFT OVARY.


Case 5: Recurrent Vault Carcinoma


Case History:

60-year female post TAH for uterine carcinoma 2 years back, now complaints of bleeding per vaginum.


Findings:

WB PET MR revealed a mildly enhancing metabolically active soft tissue mass is seen in relation to the vault on the right side on T2W axial (A) sagittal(B) coronal (F) Post-contrast axial subtraction (C) with mild FDG uptake on PET MR fused sagittal(D) and axial(E) and infiltration of the adjoining pelvic fat ( arrow in A) suggesting RECURRENCE.

Case Study Prepared by:

This short PET-MRI Scan case was compiled by Dr. Sangeeta Taneja and Dr. Amarnath Jena (Nuclear Medicine Physician at PET-Suite @ Indraprastha Apollo Hospital, Sarita Vihar).


Read More about PET-MRI Scan at House Of Diagnostics in Delhi and NCR.

The Simultaneous PET-MRI Scan is currently offered at PET-Suite at Apollo Hospital, Sarita Vihar.