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A combination of T2-w sequences with fat saturation, T1-w sequences and T1-w fat saturated sequences with gadolinium, should be used in axial and coronal planes.
Fast Spoiled Gradient Echo with fat saturation.
They are more easily identified in T2-weighted sequences with fat saturation.
The internal fibrous septa are hypointense on T1w sequence and hypointense in high-contrast sequences with fat saturation (T2w sequences with fat saturation, short inversion time inversion recovery [STIR]).
a The axial T2-weighted FSE MR image with fat saturation shows two heterogeneous masses in the right kidney (arrows).
Axial T2-weighted MR image (a) and axial T1-weighted MR image with fat saturation after intravenous gadolinium administration (b).
Sagittal T2-weighted MR image (a) and axial T1-weighted MR image with fat saturation, after intravenous gadolinium administration (b).
Sagittal proton density with fat saturation image shows joint effusion with loose bodies in the suprapatellar pouch and in the infra-hoffatic recess (wide arrows).
c Axial T1 with fat saturation following gadolinium administration demonstrates lack of enhancement within the fibroid (black arrow), consistent with infarction.
High-contrast image such as short tau inversion recovery (STIR) or proton density (PD -weighted with fat saturation can be emPD -weightedding on the employed machine.
c The axial T2-weighted fast spin echo (FSE) image with fat saturation shows the tumour to be of moderate signal (arrow) with hyperintense central scar (small arrow).
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