Diagnostic challenge of lipomatous uterine tumors in three patients

Figure 2 Computed tomography, ultrasound and magnetic resonance images of lipomatous uterine tumor in a 61-year-old woman. A: Computed tomography axial image of the pelvis with no contrast shows a hypodense lesion in the uterine fundus with thin internal septa (long arrow); B: Ultrasound in longitudinal view reveals a rather homogeneous and hyperechoic lesion (asterisk) in the uterus, just superior to the urinary bladder; C-F: Magnetic resonance imaging (MRI) images of the lesion. T1-weighted MRI images in axial plane (C) and in sagittal plane (D) show a T1 hyperintense lesion in the uterine fundus with thin hypointense septa (short arrows); E: Suppression of signal is seen in the T1-weighted fat-suppressed sequence, suggestive of fatty component of the lesion; F: Thin enhancing septa are seen inside the lesion after gadolinium contrast is administered.