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. Author manuscript; available in PMC: 2017 Jul 26.
Published in final edited form as: Eur Radiol. 2015 Oct 22;26(7):2089–2098. doi: 10.1007/s00330-015-4040-5

Figure 3.

Figure 3

Axial T2-weighted (a) and coronal T2-weighted (b) images from a MRI (low-field-strength magnet) obtained outside our institution in a 38-year-old woman with a pelvic mass seen on ultrasound. The initial MRI report described a large left pelvic mass (arrow) suspicious for an adnexal neoplastic process of indeterminate malignant potential. The second-opinion MRI interpretation by a gynaecologic oncologic radiologist characterized this mass as a subserosal leiomyoma based on the presence of multiple vessels (arrowhead) between the uterus and a juxta-uterine mass (i.e. bridging vascular sign). The diagnosis of a subserosal leiomyoma was confirmed at the subsequent surgery. Second-opinion review was correct despite the limited quality of the study related to the low-field-strength of the magnet.