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Congress: ECR25
Poster Number: C-19934
Type: Poster: EPOS Radiologist (educational)
Authorblock: M. Fertusinhos, C. G. Silva, A. G. Nunes, D. M. R. Barros, M. S. C. Rodrigues, V. Mendes, P. F. R. Oliveira Da Silva; Braga/PT
Disclosures:
Margarida Fertusinhos: Nothing to disclose
Catarina Gonçalves Silva: Nothing to disclose
Andreia Guimarães Nunes: Nothing to disclose
Daniela Moreira Rego Barros: Nothing to disclose
Márcio Samuel Cunha Rodrigues: Nothing to disclose
Vasco Mendes: Nothing to disclose
Pedro Filipe Rodrigues Oliveira Da Silva: Nothing to disclose
Keywords: Genital / Reproductive system female, Urinary Tract / Bladder, MR, Education, Cysts
Learning objectives To understand normal anatomy of the lower genitourinary (GU) female tract. To recognise the pathologic spectrum of urethral and periurethral cystic lesions of the GU female tract.
Read more Background Cystic lesions of the female lower GU tract are common incidental findings that may have an inflammatory, infectious or congenital cause.Due to the short length of the female urethra and its complex surroundings, its diagnosis is often challenging. Nevertheless, they tend to arise in specific anatomic locations and have distinguishing imaging features that help narrow the diagnosis.Magnetic resonance (MR) has become the preferred imaging technique in cases of non-specific pelvic and lower urinary symptoms. The key advantages of using MR...
Read more Findings and procedure details NORMAL ANATOMYThe normal female urethra is a tubular structure that measures approximately 4 cm in length. On axial and sagittal T2-weighted and axial fat-suppressed gadolinium-enhanced T1-weighted images, it has a typical bull's eye or concentric ringed appearance.The lesions are named urethral if they have direct communication with the urethra or periurethral when they arise from other structures and there is no clear relationship with the urethra.The key anatomic landmark that helps distinguish the different entities is the perineal membrane, which is...
Read more Conclusion Urethral and periurethral cystic lesions are relatively common incidental findings.The most common types of cystic lesions of the lower GU tract have specific anatomic features and relationships that enable their recognition and correct diagnosis.Because therapeutic management can vary between entities, a prompt and accurate diagnosis is crucial and may impact patient prognosis.
Read more References Tubay M, Hostetler V, Tujo C, Rezvani M, Shaaban A. Resident and fellow education feature: what is that cyst? Common cystic lesions of the female lower genitourinary tract. Radiographics. 2014 Mar-Apr;34(2):427-8. Chaudhari VV, Patel MK, Douek M, Raman SS. MR imaging and US of female urethral and periurethral disease. RadioGraphics 2010;30(7):1857–1874. Hahn WY, Israel GM, Lee VS. MRI of female urethral and periurethral disorders. AJR Am J Roentgenol. 2004 Mar;182(3):677-82. Saidman JM, Aineseder M, Garratt J, Wang MX, Ahmed I, Elsayes KM, Gomez...
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