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Fig. 7 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 7

From: Diagnostic performance of 3-tesla multiparametric MRI for assessment of the bladder cancer T stage and histologic grade

Fig. 7

A 69-year-old female patient presented with history of recurrent hematuria and burning micturition and notable changes of bowel habit with episodes of constipation alternating with diarrhea as well as bloody stool. Sagittal T2 WI (a) showed an intra-vesical soft tissue mass arising from bladder dome and high anterior wall expressing heterogeneous signal intensity with infiltration of the perivesical fat, anterior peritoneal reflection, and sigmoid colon. Coronal DW-MRI (b1000) (b) showed restricted diffusion of the masses with intact underlying low SI muscle layer. Axial ADC map (c) showed low SI of the lesion with ADC value = 0.79 × 10–3 mm2/s, consistent with high-grade tumor. Axial post contrast T1WI FAT-SAT (d) showed heterogeneous enhancement of the mass which infiltrated the sigmoid colon with areas of cystic degeneration. Time-intensity curve (e) showed grade 3 curve with early enhancement and rapid washout. Multiparametric MRI features suggest high-grade stage T4a urinary bladder carcinoma. Microscopic image of histopathology (f) high-grade adenocarcinoma carcinoma which confirm the multiparametric MRI finding

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