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Contrast enhancement of the normal infundibular recess using 3D FLAIR
Iichiro Osawa1, Eito Kozawa1, Yuya Yamamoto1, Sayuri Tanaka1, Taira Shiratori1, Akane Kaizu1, Kaiji Inoue1, and Mamoru Niitsu1
1Saitama Medical University Hospital, Saitama, Japan
The infundibular recess (IR) was enhanced on HT2-FLAIR after an intravenous gadolinium injection. Enhancement was stronger on post-contrast images than on 4-h delayed post-contrast images. IR showed stronger enhancement than other CSF spaces.
Figure 1. Contrast enhancement of the infundibular recess. The infundibular recess is hyperintense on axial (A, arrow) and midsagittal reformatted (B, arrow) MR cisternography (MRC). It shows contrast enhancement on axial (C, arrow) and midsagittal reformatted (D, arrow) post-contrast HT2-FLAIR.
Figure 2. Chronological changes in contrast enhancement in the infundibular recess. The infundibular recess (IR) is hyperintense on MR cisternography (MRC) (A, arrow). On HT2-FLAIR, compared with a pre-contrast image (B), a post-contrast image (C, arrow) of IR shows stronger enhancement. A 4-h delayed post-contrast image (D, arrow) shows weaker enhancement. We fuse MRC and each HT2-FLAIR into one image (E, F, and G), and enhancement on post-contrast HT2-FLAIR (F) corresponds to IR hyperintensity on MRC.