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MR and CT imaging features of sino-nasal organized hematomas

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Abstract

Aim

To describe the MR and CT imaging features of organized hematomas [OH].

Methods

A retrospective analysis of MR imaging and CT of eight patients [6 male, 2 females; age range is 6–86 years] with pathological proven OH was performed. Routine contrast MR and CT scan were done for all patients, and diffusion-weighted imaging and dynamic contrast CT were done for only five patients. Imaging analysis was done for the signal intensity, the enhancement pattern at MR imaging, the ADC value at DWI, bone remodeling at CT, and the neo-vascularization at dynamic contrast CT.

Results

OH revealed T2 hypo-intense of the matrix in all patients with complete [n = 3] and incomplete [n = 5] marginal hypo-intensity rim. The lesions revealed a frond-like pattern of contrast enhancement of the central part of the lesion that associated with a peripheral rim of contrast enhancement. OH revealed unrestricted diffusion with high ADC value [1.7–2.5 × 10–3 cm2/s] in 5 patients. CT scan showed geographic bone remodeling and thinning of the nasal turbinates, and the sinus wall and contrast CT showed neo-vascularization with frond-like branching arteries of the central part of the lesions in five patients.

Conclusion

We conclude that MR and CT imaging findings can help in the diagnosis of OH.

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Abbreviations

OH:

Organized hematoma

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, Alexandria Faculty of Medicine, Alexandria, 21131, Egypt

    Lamya Eissa & Mohamed Eid

  2. Department of Diagnostic Radiology, Mansoura Faculty of Medicine, Elgomheryia Street, Mansoura, 3512, Egypt

    Ahmed Abdel Khalek Abdel Razek

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  1. Lamya Eissa
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  2. Mohamed Eid
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  3. Ahmed Abdel Khalek Abdel Razek
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Correspondence to Ahmed Abdel Khalek Abdel Razek.

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Eissa, L., Eid, M. & Razek, A.A.K.A. MR and CT imaging features of sino-nasal organized hematomas. Oral Radiol 37, 297–304 (2021). https://doi.org/10.1007/s11282-020-00450-1

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