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MRI and CT findings of cryptococcal vaginitis

Departments of ¹ Radiology, ² Medicine and ³ Pathology, University Malaya Medical Centre, Lembah Pantai, 59100 Kuala Lumpar, Malaysia

View larger version (114K): [in a new window]   Figure 1. Axial enhanced CT image of the pelvis showing a mixed attenuation necrotic soft tissue mass measuring 6 cm x 5 cm x 3.5 cm arising from the right lateral wall of the vagina involving the right fornix (arrow) with pockets of air extending up to the lower cervical canal with no involvement of the endocervical canal and showing no significant enhancement.

View larger version (128K): [in a new window]   Figure 2. Sagittal T2 MR image showing high signal intensity lobulated mass within the upper right vaginal wall (arrow) extending to the lower cervical region.

View larger version (125K): [in a new window]   Figure 3. Coronal T2 MR image showing high signal intensity lesion in the right side of the vaginal wall (arrow).

View larger version (139K): [in a new window]   Figure 4. Histopathology of the vagina showing foamy histiocytes within which were numerous round encapsulated cryptococcal organisms the capsules of which are outlined in pink by Mucocarmine stain.