PMC3738338_01
(a) Initial MDCT of the arterial phase shows multiple microaneurysms (arrow) in the left hepatic lobe. (b) Initial MDCT of the arterial phase shows the ectatic right renal artery (arrow). (c) Multiple microaneurysms of the liver are clearly seen on the MIP (arrow). (d) 3-D CTA shows multiple microaneurysms in the liver (red arrow) and irregularity and ectasia of the right renal artery (yellow arrow)
10.1258_arsr.2012.120040-fig1.jpg
PMC3738338_01_10.1258_arsr.2012.120040-fig1.jpg
ARSR-12-0040F1
MDCT showed multiple microaneurysms in the liver (Fig. 1a and b) and irregularity and ectasia of the celiac and renal arteries (Fig. 1c). Multiple microaneurysms in the liver and irregularity and ectasia of the renal arteries were seen with 3-D CTA (Fig. 1d).
Initial MDCT of the delayed phase shows a uterus that is large for the patient's age as well as thickening of the endometrium and the uterine muscle (arrow)
10.1258_arsr.2012.120040-fig2.jpg
PMC3738338_01_10.1258_arsr.2012.120040-fig2.jpg
ARSR-12-0040F2
Transaxial images of the MDCT showed that the patient's uterus was large for her age (Fig. 2).
(a) Initial T2-weighted MRI shows thickening of the endometrium and the uterine muscle with high signal intensity (arrow). (b) Initial DWI shows high signal intensity of the endometrium, uterine muscle and left parametrium
10.1258_arsr.2012.120040-fig3.jpg
PMC3738338_01_10.1258_arsr.2012.120040-fig3.jpg
ARSR-12-0040F3
T2-WI and DWI (Fig. 3a and b) also showed high signal intensity in part of the parametrium.
Follow-up 3-D CTA after treatment with methylprednisolone shows that the multiple microaneurysms of the liver had completely disappeared (red arrow), although the irregularity and ectasia of the right renal artery remained (yellow arrow)
10.1258_arsr.2012.120040-fig4.jpg
PMC3738338_01_10.1258_arsr.2012.120040-fig4.jpg
ARSR-12-0040F4
Follow-up 3-D CTA showed that the multiple microaneurysms in her liver had completely disappeared, although irregularity and ectasia of the celiac and renal artery had remained (Fig. 4).
(a) Follow-up on T2-WI shows that the thickening of the uterine endometrium and muscle is resolving. (b) Follow-up DWI shows decreasing signal intensity of the uterine endometrium, uterine muscle, and parametrium
10.1258_arsr.2012.120040-fig5.jpg
PMC3738338_01_10.1258_arsr.2012.120040-fig5.jpg
ARSR-12-0040F5
Follow-up pelvic MRI showed that the thickness of both the uterine endometrium and muscle had diminished, and the signal intensity on both DWI and T2-WI in the parametrium had decreased (Fig. 5).