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==Overview==
==Overview==
Pattern of involvement is essentially similar to [[Mediastinitis CT|CT scan]] for mediastinitis.<ref name=AAA> Fibrosing mediastinitis. Radiopedia.org (2015) http://radiopaedia.org/articles/fibrosing-mediastinitis Accessed on October 2, 2015 </ref>
[[MRI]] may be helpful in the diagnosis of mediastinitis. Findings on MRI suggestive of mediastinitis include [[mediastinum|mediastinal]] or [[hilum|hilar]] mass, or [[calcification]]s of the central mass.<ref name="pmid6603112">{{cite journal| author=Weinstein JB, Aronberg DJ, Sagel SS| title=CT of fibrosing mediastinitis: findings and their utility. | journal=AJR Am J Roentgenol | year= 1983 | volume= 141 | issue= 2 | pages= 247-51 | pmid=6603112 | doi=10.2214/ajr.141.2.247 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6603112  }} </ref> Pattern of involvement is essentially similar to [[Mediastinitis CT|CT scan]] for mediastinitis.<ref name=AAA> Fibrosing mediastinitis. Radiopedia.org (2015) http://radiopaedia.org/articles/fibrosing-mediastinitis Accessed on October 2, 2015 </ref>


==MRI==
==MRI==
Pattern of involvement is essentially similar to [[Mediastinitis CT|CT scan]] for mediastinitis. Signal characteristics include:<ref name=AAA> Fibrosing mediastinitis. Radiopedia.org (2015) http://radiopaedia.org/articles/fibrosing-mediastinitis Accessed on October 2, 2015 </ref><ref name="pmid11353121">{{cite journal| author=Rossi SE, McAdams HP, Rosado-de-Christenson ML, Franks TJ, Galvin JR| title=Fibrosing mediastinitis. | journal=Radiographics | year= 2001 | volume= 21 | issue= 3 | pages= 737-57 | pmid=11353121 | doi=10.1148/radiographics.21.3.g01ma17737 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11353121  }} </ref><ref name="pmid11222209">{{cite journal| author=Marom EM, Goodman PC, McAdams HP| title=Focal abnormalities of the trachea and main bronchi. | journal=AJR Am J Roentgenol | year= 2001 | volume= 176 | issue= 3 | pages= 707-11 | pmid=11222209 | doi=10.2214/ajr.176.3.1760707 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11222209  }} </ref>
Findings on MRI suggestive of mediastinitis include [[mediastinum|mediastinal]] or [[hilum|hilar]] mass, or [[calcification]]s of the central mass.<ref name="pmid6603112">{{cite journal| author=Weinstein JB, Aronberg DJ, Sagel SS| title=CT of fibrosing mediastinitis: findings and their utility. | journal=AJR Am J Roentgenol | year= 1983 | volume= 141 | issue= 2 | pages= 247-51 | pmid=6603112 | doi=10.2214/ajr.141.2.247 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6603112  }} </ref> Pattern of involvement is essentially similar to [[Mediastinitis CT|CT scan]] for mediastinitis.<ref name=AAA> Fibrosing mediastinitis. Radiopedia.org (2015) http://radiopaedia.org/articles/fibrosing-mediastinitis Accessed on October 2, 2015 </ref> Signal characteristics include:<ref name=AAA> Fibrosing mediastinitis. Radiopedia.org (2015) http://radiopaedia.org/articles/fibrosing-mediastinitis Accessed on October 2, 2015 </ref><ref name="pmid11353121">{{cite journal| author=Rossi SE, McAdams HP, Rosado-de-Christenson ML, Franks TJ, Galvin JR| title=Fibrosing mediastinitis. | journal=Radiographics | year= 2001 | volume= 21 | issue= 3 | pages= 737-57 | pmid=11353121 | doi=10.1148/radiographics.21.3.g01ma17737 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11353121  }} </ref><ref name="pmid11222209">{{cite journal| author=Marom EM, Goodman PC, McAdams HP| title=Focal abnormalities of the trachea and main bronchi. | journal=AJR Am J Roentgenol | year= 2001 | volume= 176 | issue= 3 | pages= 707-11 | pmid=11222209 | doi=10.2214/ajr.176.3.1760707 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11222209  }} </ref>


*T1: typically heterogeneous but overall iso signal to muscle
*T1: typically heterogeneous but overall iso signal to muscle

Revision as of 03:48, 9 October 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2]

Overview

MRI may be helpful in the diagnosis of mediastinitis. Findings on MRI suggestive of mediastinitis include mediastinal or hilar mass, or calcifications of the central mass.[1] Pattern of involvement is essentially similar to CT scan for mediastinitis.[2]

MRI

Findings on MRI suggestive of mediastinitis include mediastinal or hilar mass, or calcifications of the central mass.[1] Pattern of involvement is essentially similar to CT scan for mediastinitis.[2] Signal characteristics include:[2][3][4]

  • T1: typically heterogeneous but overall iso signal to muscle
  • T2: variable with both high 3 and low 2-3 signal within the same lesion
  • T1 C+ (Gd): may show heterogeneous enhancement

References

  1. 1.0 1.1 Weinstein JB, Aronberg DJ, Sagel SS (1983). "CT of fibrosing mediastinitis: findings and their utility". AJR Am J Roentgenol. 141 (2): 247–51. doi:10.2214/ajr.141.2.247. PMID 6603112.
  2. 2.0 2.1 2.2 Fibrosing mediastinitis. Radiopedia.org (2015) http://radiopaedia.org/articles/fibrosing-mediastinitis Accessed on October 2, 2015
  3. Rossi SE, McAdams HP, Rosado-de-Christenson ML, Franks TJ, Galvin JR (2001). "Fibrosing mediastinitis". Radiographics. 21 (3): 737–57. doi:10.1148/radiographics.21.3.g01ma17737. PMID 11353121.
  4. Marom EM, Goodman PC, McAdams HP (2001). "Focal abnormalities of the trachea and main bronchi". AJR Am J Roentgenol. 176 (3): 707–11. doi:10.2214/ajr.176.3.1760707. PMID 11222209.


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