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50 y.o. male with abdominal discomfort and palbable mass. Underwent US, then CTA and finally time-resolved MRA. Diagnosis please.

Secondary question: what is your experience with time-resolved MR-angiography ?

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Comment by benjamin D. sarkodie on May 24, 2009 at 6:32pm
left internal iliac artery aneuryssm
Comment by Dr. Renu on August 26, 2008 at 6:37am
great case.
Comment by Jim McNally on July 4, 2008 at 11:24am
Applaud!! Great case!
Comment by radRounds Radiology Network on June 3, 2008 at 1:18pm
Thanks for showing us this really cool AVM. Do you have any CT's? i.e. perhaps even the avi for the axial scroll throughs?
Comment by Bhargav Raman on May 30, 2008 at 8:43pm
There was an IR case with the same problem presented yesterday. Patient was shot in the pelvis 6 yrs ago, and nobody noticed the AVM until now...when it's so high flow they really can't get very good enhancement using fluoro in the OR. Great renderings *thumbup*
Comment by Dr. Mohamed Refaey on May 29, 2008 at 5:23pm
great case Michele..thank you !!
Comment by Michele Anzidei on May 29, 2008 at 5:15am
It includes even the IMA ! and yes, it's the hugest AVM you've ever seen...
Comment by Dr. Mohamed Refaey on May 28, 2008 at 5:52pm
all internal iliac vessels involved (arteries and veins)..if it's an AVM it would be the hugest to see till now..
Comment by Michele Anzidei on May 27, 2008 at 11:32am
Which are the arterial feeders and the venous discharge system ?
Comment by Dr. Mohamed Refaey on May 27, 2008 at 3:30am
well..both anterior and posterior divisions are involved..mainly the anterior one..

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