title: Adnexal masses caused by pelvic inflammatory disease: MR appearance.
abstract: OBJECTIVE
  To describe the morphologic and signal intensity characteristics of inflammatory adnexal masses in magnetic resonance (MR) images.
  
  
  METHODS
  MR images of 15 patients with a total of 20 confirmed inflammatory adnexal masses were analyzed retrospectively.
  
  
  RESULTS
  The findings obtained from MR imaging were as follows: lesions have ill-defined borders; ill-defined areas of high intensity signals surround the masses on T(2)-weighted images; a "rim" at the innermost layer of the cyst wall exhibits high signal intensity on T(1)-weighted images and low intensity on T(2)-weighted images; secondary changes in the surrounding fat plane and bowel loops are extensive; and adhesions are dense. These findings reflect the basic characteristics of the inflammatory process, which are edema caused by increased permeability and highly vascularized granulation tissue caused by the strong tendency to repair.
  
  
  CONCLUSIONS
  MR imaging findings well reflect the basic pathological process of inflammation, and inflammatory adnexal masses are associated with relatively specific appearances in MR images. MR imaging can be a problem-solving alternative in the diagnosis of inflammatory adnexal masses.
authors.affiliation: Department of Nuclear Medicine and Diagnostic Imaging, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-shi, Kyoto 606-8507, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ueda
authors.forename: Kaori
authors.initials: K
authors.lastname: Togashi
authors.forename: Milliam L
authors.initials: ML
authors.lastname: Kataoka
authors.forename: Takashi
authors.initials: T
authors.lastname: Koyama
authors.forename: Toshitaka
authors.initials: T
authors.lastname: Fujiwara
authors.forename: Shingo
authors.initials: S
authors.lastname: Fujii
authors.forename: Junji
authors.initials: J
authors.lastname: Konishi
mesh_terms: D000291:Adnexal Diseases / Q000209:etiology* / Q000473:pathology*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008875:Middle Aged; D000292:Pelvic Inflammatory Disease / Q000150:complications*; D012189:Retrospective Studies