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Extra info for Kaplan USMLE Step 2: Obstetrics and Gynecology
1998). 12 a, b Interindividual variations of parenchymal contrast enhancement. Comparison between two patients (Figs. 12) with a Mammography. mammographically dense breast tissue (ACR [American Colb Corresponding MR mammography shows extreme differlege of Radiology] type 3 + 4). ences in CM uptake between these patients (subtraction images). 2010 12:02 Seite 47 Intraindividual Fluctuations 47 Intraindividual Fluctuations Systematic longitudinal and cross-sectional studies show that parenchymal CM uptake is subject to intraindividual fluctuations (Fig.
Bony thorax) do not produce ambiguous structures. In addition, intramammary veins are usually imaged along their course, so that they can be recognized as tubular structures and will not be mistaken for round lesions. The main disadvantage of the axial slice orientation is the limited assessment it permits of parenchymal struc- tures in the axillary region, due to cardiac artifacts caused by the phased encoding gradients. The coronal slice orientation permits the selection of a rectangular FOV, which makes allows reduction of the slice thickness and the optimization of the spatial resolution to ȁ2 mm.
Note that parenchyma also shows contrast enhancement. Histology: Solitary intraductal papilloma. 2010 12:02 52 Seite 52 8 Benign Changes MR mammography: Papilloma(s) T1-weighted sequence (contrast-enhanced) Round or oval lesion with homogeneous or inhomogeneous contrast enhancement, depending on the size of the papilloma. Well-circumscribed. Stronger initial contrast enhancement than surrounding parenchyma in most cases. Continuous postinitial signal increase during entire examination period, occasionally postinitial plateau.