Advertisement

Abdominal Radiology

, Volume 43, Issue 10, pp 2823–2850 | Cite as

The skinny on skin: MRI features of cutaneous and subcutaneous lesions detected on body MRI studies

  • David Becker-Weidman
  • Jennifer Ni Mhuircheartaigh
  • Koenraad J. Mortele
Pictorial essay
  • 141 Downloads

Abstract

The skin and subcutaneous tissues are inevitably imaged as part of most body MRI studies. Incidental or even symptomatic skin lesions may, therefore, be detected and present a diagnostic challenge for the radiologist. We aim to provide a comprehensive review, with illustrative examples, of the skin abnormalities encountered on body MRI studies in our busy academic radiology department.

Keywords

Cutaneous Subcutaneous MRI Skin 

Notes

Compliance and ethical standards

Conflicts of interest

The authors declare that they have no conflicts of interest

References

  1. 1.
    Van Meerbeeck SF, Verstraete KL, Janssens S, Mortier G (2009) Whole body MR imaging in neurofibromatosis type 1. EJR 69:236–242CrossRefGoogle Scholar
  2. 2.
    Weissleder R, Rieumont MJ, Wittenberg J (1997) Primer of diagnostic imaging, 2nd edn. St. Louis: MosbyGoogle Scholar
  3. 3.
    Murphey MD, Smith WS, Smith SE, Kransdorf MJ, Temple HT (1999) From the archives of the AFIP. Imaging of musculoskeletal neurogenic tumors: radiologic-pathologic correlation. Radiographics 19:1253–1280CrossRefPubMedGoogle Scholar
  4. 4.
    Jee WH, Oh SN, McCauley T, et al. (2004) Extraaxial neurofibromas versus neurilemmomas: discrimination with MRI. AJR 183:629–633CrossRefPubMedGoogle Scholar
  5. 5.
    Christenson LJ, Smith K, Arpey CJ (2000) Treatment of multiple cutaneous leiomyomas with CO2 laser ablation. Dermatol Surg 26:319–322CrossRefPubMedGoogle Scholar
  6. 6.
    Spencer JM, Amonette RA (1996) Tumors with smooth muscle differentiation. Dermatol Surg 22:761–768PubMedGoogle Scholar
  7. 7.
    Myhre-Jensen O (1981) A consecutive 7-year series of 1331 benign soft tissue tumours. Clinicopathologic data. Comparison with sarcomas. Acta Orthop Scand 52:287–293CrossRefPubMedGoogle Scholar
  8. 8.
    Kransdorf MJ, Bancroft LW, Peterson JJ, et al. (2002) Imaging of fatty tumors: distinction of lipoma and well-differentiated liposarcoma. Radiology 224:99–104CrossRefPubMedGoogle Scholar
  9. 9.
    Fletcher CDM (2013) WHO classification of tumours of soft tissue and bone, 4th edn. Lyon: IARC PressGoogle Scholar
  10. 10.
    Murphey MD, Carroll JF, Flemming DJ, et al. (2004) From the archives of the AFIP: benign musculoskeletal lipomatous lesions. RadioGraphics 24(5):1433–1466CrossRefPubMedGoogle Scholar
  11. 11.
    Winant AJ, Vora A, Ginter PS, Levine MS, Brylka DA (2014) More than just metastases: a practical approach to solid mesenteric masses. Abdom Imaging 39:605–621CrossRefPubMedGoogle Scholar
  12. 12.
    Lee JC, Thomas JM, Phillips S, Fisher C, Moskovic E (2006) Aggressive fibromatosis: MRI features with pathologic correlation. AJR 186:247–253CrossRefPubMedGoogle Scholar
  13. 13.
    Azizi L, Balu M, Belkacem A, et al. (2005) MRI features of mesenteric desmoid tumors in familial adenomatous polyposis. AJR 184:1128–1135CrossRefPubMedGoogle Scholar
  14. 14.
    Sundaram M, McGuire MH, Schajowicz F (1987) Soft-tissue masses: histologic basis for decreased signal (short T2) on T2-weighted MR images. AJR 148:1247–1250CrossRefPubMedGoogle Scholar
  15. 15.
    Romero JA, Kim EE, Kim CG, Chung WK, Isiklar I (1995) Different biologic features of desmoid tumors in adult and juvenile patients: MR demonstration. J Comput Assist Tomogr 19:782–787CrossRefPubMedGoogle Scholar
  16. 16.
    Robbin MR, Murphey MD, Temple HT, Kransdorf MJ, Choi JJ (2001) Imaging of musculoskeletal fibromatosis. RadioGraphics 21:585–600CrossRefPubMedGoogle Scholar
  17. 17.
    Healy JC, Reznek RH, Clark SK, Phillips RK, Armstrong P (1997) MR appearances of desmoid tumors in familial adenomatous polyposis. AJR 169:465–472CrossRefPubMedGoogle Scholar
  18. 18.
    Carbotta G, Sallustio P, Prestera A, et al. (2016) Perineal Paget’s disease: a rare disorder and review of literature. Ann Med Surg 9:50–52CrossRefGoogle Scholar
  19. 19.
    Akaike G, Nozaki T, Matsusako M, et al. (2013) Magnetic resonance imaging for extramammary Paget’s disease: radiological and pathological correlations. Skelet Radiol 42:437–442CrossRefGoogle Scholar
  20. 20.
    Dei Tos AP, Pedeutor F (2002) Atypical lipomatous tumour/well differentiated liposarcoma. In: Fletcher CDM, Unni KK, Mertens F (eds) Pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press, pp 35–37Google Scholar
  21. 21.
    Enzinger FM (1962) Liposarcoma. A study of 103 cases. Virchows Arch Pathol Anat 335:367–388CrossRefGoogle Scholar
  22. 22.
    Fletcher CD (2000) Soft tissue tumours. In: Fletcher CD (ed) Diagnostic histopathology of tumors, 2nd edn. London: Churchill LivingstoneGoogle Scholar
  23. 23.
    Weiss SW, Goldblum JR (2001) Enzinger and Weiss’s soft tissue tumors, 4th edn. Mosby: MosbyGoogle Scholar
  24. 24.
    Gaskin CM, Helms CA (2004) Lipomas, lipoma variants, and well-differentiated liposarcomas (atypical lipomas): reults of MRI evaluations of 126 consecutive fatty masses. AJR 182:733–739CrossRefPubMedGoogle Scholar
  25. 25.
    Luchs JS, Hines J, Katz DS, Athanasian EA (2002) On the AJR viewbox: MR imaging of squamous cell carcinoma complicating chronic osteomyelitis of the femur. AJR 178:512–513CrossRefPubMedGoogle Scholar
  26. 26.
    Becker M, Zaidi H (2014) Imaging in head and neck squamous cell carcinoma: the potential role of PET/MRI. BJR 87:20130677CrossRefPubMedGoogle Scholar
  27. 27.
    Mackie RM (1992) Soft-tissue tumors. In: Champion RH, Burton JL, Ebling FJ (eds) Textbook of dermatology, 5th edn. Oxford: Blackwell, pp 2078–2079Google Scholar
  28. 28.
    Torreggiani WC, As-Ismail K, Munk PL, et al. (2002) Dermatofibrosacroma protuberans MR imaging features. AJR 178:989–993CrossRefPubMedGoogle Scholar
  29. 29.
    Kransdorf MJ, Meis-Kindblom JM (1994) Dermatofibrosarcoma protuberans: radiologic appearance. AJR 163:391–394CrossRefPubMedGoogle Scholar
  30. 30.
    Juan Y, Saboo SS, Tirumani SH, et al. (2014) Malignant skin and subcutaneous neoplasms in adults: multimodality imaging with CT, MRI, and 18F-FDG PET/CT. AJR 202:W422–W438CrossRefPubMedGoogle Scholar
  31. 31.
    Kim HK, Kim SM, Lee SH, Racadio JM, Shin MJ (2011) Subcutaneous epidermal inclusion cysts: ultrasound (US) and MR imaging findings. Skelet Radiol 40:1415–1419CrossRefGoogle Scholar
  32. 32.
    Sung HH, Chung HW, Choi J, et al. (2006) MRI findings of subcutaneous epidermal cysts: emphasis on the presence of rupture. AJR 186:961–966CrossRefGoogle Scholar
  33. 33.
    Jackson IT, Carreño R, Potparic Z, Hussain K (1993) Hemangiomas, vascular malformations, and lymphovenous malformations: classification and methods of treatment. Plast Reconstr Surg 91:1216–1230CrossRefPubMedGoogle Scholar
  34. 34.
    Moukaddam H, Pollak J, Haims AH (2009) MRI characteristics and classification of peripheral vascular malformations and tumors. Skelet Radiol 38:535–547CrossRefGoogle Scholar
  35. 35.
    Salgado R, Alexiou J, Engelhorn JL (2006) Pseudotumoral lesions. In: De Schepper AM, Vanhoenacker F, Gielen J, Parizel PM (eds) Imaging of soft tissue tumors. Berlin: Springer, pp 415–446CrossRefGoogle Scholar
  36. 36.
    English JC 3rd, Patel PJ, Greer KE (2001) Sarcoidosis. J Am Acad Dermatol 44:725–746CrossRefPubMedGoogle Scholar
  37. 37.
    Shinozaki T, Watanabe H, Aoki J, et al. (1998) Imaging features of subcutaneous sarcoidosis. Skelet Radiol 27:359–364CrossRefGoogle Scholar
  38. 38.
    Kelly AM, Cronin P (2005) MRI features of hidradenitis suppurativa and review of the literature. AJR 185:1201–1204CrossRefPubMedGoogle Scholar
  39. 39.
    Parks RW, Parks TG (1997) Pathogenesis, clinical features and management of hidradenitis suppurativa. Ann R Coll Surg Engl 79:83–89PubMedPubMedCentralGoogle Scholar
  40. 40.
    Hensen JJ, Van Breda Vriesman AC, Puylaert JBCM (2006) Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. AJR 186:616–620CrossRefPubMedGoogle Scholar
  41. 41.
    Yarmish D, Sale E, Goldman DA, et al. (2017) Abdominal wall endometriosis: differentiation from other masses using CT features. Abdom Radiol 42:1517–1523CrossRefGoogle Scholar
  42. 42.
    Veloso TF (2004) Skin complications associated with inflammatory bowel disease. Aliment Pharmacol Ther 20:50–53CrossRefGoogle Scholar
  43. 43.
    Scaranelo AM, de Fatima Ribeiro Maia M (2006) Sonographic and mammographic findings of breast liquid silicone injection. J Clin Ultrasound 34:273–277CrossRefPubMedGoogle Scholar
  44. 44.
    Venkataraman S, Hines N, Slanetz PJ (2011) Challenges in mammography. Part 2. Multimodality review of breast augmentation—imaging findings and complications. AJR 197:1031–1045CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • David Becker-Weidman
    • 1
  • Jennifer Ni Mhuircheartaigh
    • 2
  • Koenraad J. Mortele
    • 2
  1. 1.Great Lakes Medical ImagingWilliamsvilleUSA
  2. 2.Department of RadiologyBeth Israel Deaconess Medical CenterBostonUSA

Personalised recommendations