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British Journal of Radiology (2005) 78, 565-568
© 2005 British Institute of Radiology
doi: 10.1259/bjr/31560902

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Solitary fibrous tumour of the epididymis: MRI features

A Ch Tsili, MD1, C Tsampoulas, MD1, X Giannakopoulos, MD2, A Batistatou, MD3, E Arkoumani, MD1, An Silakos, MD2, N Sofikitis, MD2 and S C Efremidis, MD1

Departments of 1 Clinical Radiology, 2 Urology and 3 Pathology, University Hospital of Ioannina, Greece



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Figure 1. (a) Transverse ultrasound of the left hemiscrotum shows an ovoid, sharply demarcated, hypoechoic mass, measured 1.8 cm x 1.9 cm (cursors), located outside the testis (T). A small hydrocele is also seen (white arrow). (b) Colour Doppler examination shows rich tumour vascularity in the centre and at the periphery.

 


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Figure 2. (a) Transverse T1 weighted image (repetition time/echo time (TR/TE), 650/15) shows a paratesticular mass (asterisk) in the left hemiscrotum, with signal intensity similar to that of testicular parenchyma (T). (b) Transverse and (c) sagittal T2 weighted fast spin-echo MR images (TR/TE, 4000/100) show the mass (asterisk) clearly as extra testicular, located at the area of the epididymis. It has lower signal intensity, compared with that of testicular parenchyma and surrounded by a low signal intensity capsule (arrow). (d) Sagittal post-contrast T1 weighted image. The mass (asterisk) enhances strongly and homogeneously.

 





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