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MRI of patient with fever of unknown origin

Case Study
Nobusawa, Hiroshi, M.D., Ph.D. Kawasaki Sawai Hospital • Japan
Naka, Takanori Kawasaki Sawai Hospital • Japan

Patient history

A 62-year-old male patient with fever of unknown origin and a normal appearance on CT was referred to MRI at Kawasaki Sawai Hospital, Japan.

MR examination

The patient was scanned on Ingenia 1.5T using a whole body oncology ExamCard that includes coronal DWIBS.

 

View ExamCard used:

Images

Click on an image to enlarge
 Initial CT study<br>
<br> DWIBS 2 weeks later DWIBS 2 months later
Initial CT study

DWIBS 2 weeks later
DWIBS 2 months later

Diagnosis

Abnormalities are seen on whole body DWIBS images (ellipse), which could be compatible with bone marrow hyperplasia or metastases. Lesions show diffuse low signal on the opposed-phase images, which is consistent with bone marrow hyperplasia.

 

Diagnosis is right iliopsoas muscle cellulitis and diffuse bone-marrow hyperplasia.

Impact of coronal DWIBS imaging

Read more on how Kawasaki Saiwai hospital improved their DWIBS whole body protocol, shortened their scan time and increased their referrals:

 

FieldStrength article: Expanding whole body MRI use in oncology patients

 

 

 

 

Results from case studies are not predictive of results in other cases. Results in other cases may vary.



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Case Study
Ingenia 1.5T
Release 4
Body, DWI, DWIBS, mDIXON, mDIXON FFE, Oncology, Whole body, whole body DWI
 

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