Monday, January 16, 2012

A confusing bleed ???



A Patient Present with

 LOWER   ABDOMEN   PAIN    ---- SINCE  2007

  USG    29/12/11-->  RIGHT   OVARY   SHOWS A CYST  WITH  MULTIPLE  LOW  LEVEL  INTERNAL ECHOES
?  INFECTIONS  /  HEMORRHAGE IN THE CYST
BULKY  UTERUS  MEASURING  10.1X6.3X5.3   CM
T1 AXIAL(OBL)













-----------------------------------------------------------

T2 AXIAL(OBL)













----------------------------------------------------------
STIR AXIAL(OBL)













---------------------------------------------------------
T1 FAT SATURATED AXIAL(OBL)














Is it a bleed(Hemorrhage )???


If yes ->Why STIR  Showing Hypo-intense  signal in that lesion ???


If No -> Why T1 FS showing  Hyper-intense  signal
in that lesion???