Abdominal wall mass –MRI Approach

50 yr old lady presents for CEMRI with abdominal wall mass in USG with no history of trauma / fever / surgery.CEMRI shows – Large intense& heterogeneously enhancing altered signal intensity space occupying lesion involving left anterior parietes of abdominal wall extending from supraumbilical to pelvic region with areas of necrosis/ restricted diffusion /predominantly edematous signal components /rectus abdominis not separately identified / properitoneal fat stranding with no intraperitoneal extension / across midline /no definite skin ulceration /regional lymphadenopathy / air /MR demonstrable calcification / flow voids leading upto lesion-Not specific to etiology , however, infective or neoplastic etiology like desmoid tumor / lymphoma / pleomorphic sarcoma / giant cell tumor of tendon sheath / peripheral nerve sheath tumors / etc. is possible.Teaching points Submitted by Dr MGK Murthy, Dr GA PrasadTumor like lesions of abdominal wall –-         Abdominal wall endometriosis -defined as endometrial tissue that is superficial to the peritoneum& is a common site of extrapelvic endometriosis that usually develops in a surgical abdominal scar like after caesarean section with typical presentation of female patient with cyclical pain from a solid mass in scar tissue with iso- to mildly hyperintense on T1W and T2W, with or without small foci of high signal inte...
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs