Silicone lymphadenopathy

A 69 year old female patient with subcutaneous mastectomy and inlay-reconstruction due to invasive lobular carcinoma on the right side ten years ago, presenting now for follow up MR-mammography. The patient was free of complaints. An external rupture of the silicon-inlay was known. [...]

Invasive lobular carcinoma

A 41 year old female patient presented with a new palpable mass in the left upper lateral quadrant. In regards to the patient’s family history, her mother developed breast cancer at 40 years of age, her sister at 38 years of age and her aunt at 30 years of age. On the mammogram, extensive dense breast parenchyma was noted on both sides, corresponding to an ACR4 classification, and thus a limited evaluation. On the basis of this exam alone, no tumor or architectural disorder could be detected. Due to the patient’s family history additional MR-Mammography was performed for further evaluation. [...]

Intraductal papillary carcinoma

A 69 year old female patient with hemorrhagic nipple discharge on the left side. Clinical assessment revealed no palpable mass, and no signs of inflammation. Mammography and ultrasound were within normal limits. [...]

Intraductal papilloma

A 52 year old female patient with right sided nipple discharge. The mammogram was classified as ACR4 without any abnormal findings. [...]

Takotsubo Cardiomyopathy

This 70-year-old woman presented to the emergency room with acute onset of severe chest pain. No prior history of trauma. The pain started after a quarrel with her 45-year old daughter. The electrocardiogram did not reveal evidence of ischemic ST segment deviations. Creatinine kinase was of borderline value (10 U/L), but cardiac troponin T was elevated (2.15 µg/L). Coronary artery disease was ruled out by emergency coronary angiography. However, left ventricular angiography demonstrated apical ballooning with a reduced left ventricular ejection fraction. [...]

Multiple Arterial Stenoses

This 63-year-old man presented with a longstanding history of peripheral arterial occlusive disease, hypertension, diabetes, coronary artery disease, prior myocardial infarction, crossover bypass, and renal artery stenosis with increasing leg pain. [...]

Nephroblastoma

This 8-year-old girl presented to the hospital with recurring abdominal pain on the left side and fever up to 39°C. In the urinalysis, protein, ketones and white blood cells were found, as well as hematuria. Ultrasound and a MR examination revealed a mass lesion in the left retroperitoneum with presumptive diagnosis of a nephroblastoma. [...]

Dilatative Arteriopathy

This 76-year-old man presented for diagnostic angiography with a longstanding history of dilatative and occlusive arteriopathy, hypertension, coronary artery disease and a popliteal aneurysm. Clinically an occlusion of the femoral-popliteal bypass to the right PIII segment was known. [...]

Metastatic Melanoma

This 36-year-old patient presented in December 2006 with a suspicious mole on the right lower leg which was surgically removed. Histopathology demonstrated a malignant melanoma. 2.5 years later the patient presented with an inguinal lymph node metastasis on the right side detected on lymph node dissection. MRI was ordered to further evaluate the right leg on which additional cutaneous lesions were noted. [...]

Severe Degenerative Changes of the Hip Joints

This 74-year-old woman presented with a longstanding history of hip and leg pain on both sides but more pronounced on the right side. She is also suffers from a significant scoliosis. [...]

Partial Rupture of the Posterior Cruciate Ligament

This 29-year-old man presented to his physician with pain in his left knee. He could remember a minor knee injury several weeks ago. In his spare time he goes running three times a week. His past medical history showed no relevant disease. [...]

Contrast Enhanced MRA of Dissection of the Carotid Artery

This 69-year-old man presented to the angiography department with a single episode of amaurosis fugax 6 months ago. Since that time he has been treated with thrombocyte aggregation inhibitors. Clinical symptomatology includes headaches and vertigo. [...]

An Overview of Imaging Techniques for the Carotid Bifurcation

Because it has been proven that there is a link between the development of nephrogenic systemic fibrosis (NSF) and the application of high volumes of magnetic resonance (MR) contrast agents in patients with impaired renal function, interest in non-contrast-enhanced techniques for MR angiography has experienced a renaissance. This set of images presents 5 different techniques for imaging the carotid bifurcation, one of the most critical and commonly diseased vascular regions within the entire arterial system. Except one (D), for best comparability, all exams were acquired with the same spatial resolution of 0.9 x 0.9 x 0.9 mm3 at 3 T (Magnetom Verio, Siemens Medical Solutions). [...]

Contrast Enhanced MRA of the Renal Arteries, with Renal Artery Stenosis

This 64-year-old man presented with an increased serum creatinine level (2.77 mg/dL) and significant asymmetry of renal size (reduced on the right) on ultrasound. The past medical history was pertinent for prior stenting of the right renal artery. [...]

MRA – False Aneurysm of the Renal Artery

This 71-year-old man presented to the emergency room with a fever up to 39°C and a general decline in his state of health. Two weeks previously, he underwent a partial resection of the right kidney due to suspected renal cell carcinoma, that turned out to be an hemorrhagic cyst. [...]

Contrast Enhanced MRA of a Pelvic Arteriovenous Malformation

This 43-year-old woman presented to the angiography department three years ago with pain in the lower abdomen. She underwent resection of an intrauterine fibroma in 1997 and a C-section in 2002. In September 2005, the question was raised regarding a possible malformation of iliac vessels on the left side. [...]