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Huynh, Tuan N. BA; Johnson, Thor MD, PhD; Poder, Liina MD; Joe, Bonnie N. MD, PhD; Webb, Emily M. MD; Coakley, Fergus V. MD, MB, BCh
Magnetic resonance imaging findings in 2 patients with misleading T1 hyperintensity seen only on fat-suppressed images are presented; one with a renal cell carcinoma that was misinterpreted as a hemorrhagic cyst and the other with an ovarian serous cystadenocarcinoma that was misinterpreted as a complicated endometrioma. The apparent T1 hyperintensity on fat-suppressed images in these cases was likely due to varying perception of image signal dependent on local contrast, an optical effect known as the checker-shadow illusion. T1 pseudohyperintensity should be considered when apparently high T1 signal intensity is seen only on fat-suppressed images; review of non-fat-suppressed images may help prevent an erroneous diagnoses of blood-containing lesions.
© 2011 Lippincott Williams & Wilkins, Inc.
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MRI, hemorrhage, cyst, renal, endometrioma, artifact
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