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Most often, the detection of macroscopic fat in dermoids is diagnostic and DWI adds no additional value (Fig. 8).
Angiomyolipomas are identified by demonstrating macroscopic fat in the lesion (Fig. 6).
The presence of macroscopic fat in an adrenal mass has classically been associated with myelolipoma.
The presence of macroscopic fat in an adrenal mass has classically been associated with a myelolipoma.
In these cases spectral fat-suppression images should be used to prove the presence of macroscopic fat in the angiomyolipoma.
Macroscopic fat in a renal lesion can be detected by CT using density measurement and by MRI using fat-suppression techniques.
Similar(52)
Table 1 Key features of some of the primary retroperitoneal masses Tumour Characteristic feature Liposarcoma Macroscopic fat seen in CT or MR. Myxoid variety may have a pseudocystic appearance.
Macroscopic fat present in most AMLs has a characteristic appearance on CT and MRI.
CT demonstrable macroscopic fat is found in more than 90% of ovarian dermoids.
An unusual form of treatment response observed in some cases of LPS is a progressive increase in the amount of macroscopic fat with no appreciable change in tumor size, in contrast to minimal or no fat on the pretreatment scan, representing differentiation in dedifferentiated components (Fig. 10).
This loss of signal intensity should be distinguished from the signal loss at the interface of macroscopic fat and surrounding tissue in angomyolipomas on opposed-phase images, especially if the amount of macroscopic fat is small.
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