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. 2017 Apr 28;9(4):178–190. doi: 10.4329/wjr.v9.i4.178

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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.

Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Sacrococcygeal teratoma (type III). T2 weighted sagittal (A), T2 weighted axial (B), T1 weighted axial (C) and T1 weighted fat suppressed axial post contrast (D) images show a large heterogeneous presacral lesion. It has a large internal component which is predominately fat (arrowhead) appearing hyperintense on both T1 and T2 weighted images with signal suppression on post contrast fat saturated image. It also has a small complex solid cystic external component (arrow) appearing hyperintense on T2 wighted and hypointense on T1 weighted with enhancement on post contrast images.