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Mediastinitis MRI

Introduction

Overview

Overview

MRI may be used in the diagnosis of mediastinitis. Findings on MRI suggestive of mediastinitis include mediastinal or hilar mass and calcifications of the central mass.[1] Pattern of involvement in mediastinitis is essentially similar to mediastinitis CT scan.[2] Findings on MRI suggestive of mediastinitis include heterogeneous but iso signals, mediastinal or hilar mass, and calcifications of the central mass.

MRI

MRI

Findings on MRI suggestive of mediastinitis include:[2][3][4]

  • T1: typically heterogeneous but overall iso signal to muscle
  • T2: variable with both high 3 and low 2-3 signal within the same lesion
  • T1 C+ (Gd): may show heterogeneous enhancement
  • Mediastinal or hilar mass
  • Calcifications of the central mass
References

References

  1. ↑ Weinstein JB, Aronberg DJ, Sagel SS (1983). “CT of fibrosing mediastinitis: findings and their utility”. AJR Am J Roentgenol. 141 (2): 247–51. doi:10.2214/ajr.141.2.247. PMID 6603112.
  2. ↑ 2.0 2.1 Fibrosing mediastinitis. Radiopedia.org (2015) http://radiopaedia.org/articles/fibrosing-mediastinitis Accessed on October 2, 2015
  3. ↑ Rossi SE, McAdams HP, Rosado-de-Christenson ML, Franks TJ, Galvin JR (2001). “Fibrosing mediastinitis”. Radiographics. 21 (3): 737–57. doi:10.1148/radiographics.21.3.g01ma17737. PMID 11353121.
  4. ↑ Marom EM, Goodman PC, McAdams HP (2001). “Focal abnormalities of the trachea and main bronchi”. AJR Am J Roentgenol. 176 (3): 707–11. doi:10.2214/ajr.176.3.1760707. PMID 11222209.

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2]