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

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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.

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References

  1. Van Meerbeeck SF, Verstraete KL, Janssens S, Mortier G (2009) Whole body MR imaging in neurofibromatosis type 1. EJR 69:236–242

    Article  Google Scholar 

  2. Weissleder R, Rieumont MJ, Wittenberg J (1997) Primer of diagnostic imaging, 2nd edn. St. Louis: Mosby

    Google Scholar 

  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 19:1253–1280

    Article  PubMed  CAS  Google Scholar 

  4. Jee WH, Oh SN, McCauley T, et al. (2004) Extraaxial neurofibromas versus neurilemmomas: discrimination with MRI. AJR 183:629–633

    Article  PubMed  Google Scholar 

  5. Christenson LJ, Smith K, Arpey CJ (2000) Treatment of multiple cutaneous leiomyomas with CO2 laser ablation. Dermatol Surg 26:319–322

    Article  PubMed  CAS  Google Scholar 

  6. Spencer JM, Amonette RA (1996) Tumors with smooth muscle differentiation. Dermatol Surg 22:761–768

    PubMed  CAS  Google Scholar 

  7. Myhre-Jensen O (1981) A consecutive 7-year series of 1331 benign soft tissue tumours. Clinicopathologic data. Comparison with sarcomas. Acta Orthop Scand 52:287–293

    Article  PubMed  CAS  Google Scholar 

  8. Kransdorf MJ, Bancroft LW, Peterson JJ, et al. (2002) Imaging of fatty tumors: distinction of lipoma and well-differentiated liposarcoma. Radiology 224:99–104

    Article  PubMed  Google Scholar 

  9. Fletcher CDM (2013) WHO classification of tumours of soft tissue and bone, 4th edn. Lyon: IARC Press

    Google Scholar 

  10. Murphey MD, Carroll JF, Flemming DJ, et al. (2004) From the archives of the AFIP: benign musculoskeletal lipomatous lesions. RadioGraphics 24(5):1433–1466

    Article  PubMed  Google Scholar 

  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 39:605–621

    Article  PubMed  Google Scholar 

  12. Lee JC, Thomas JM, Phillips S, Fisher C, Moskovic E (2006) Aggressive fibromatosis: MRI features with pathologic correlation. AJR 186:247–253

    Article  PubMed  Google Scholar 

  13. Azizi L, Balu M, Belkacem A, et al. (2005) MRI features of mesenteric desmoid tumors in familial adenomatous polyposis. AJR 184:1128–1135

    Article  PubMed  Google Scholar 

  14. Sundaram M, McGuire MH, Schajowicz F (1987) Soft-tissue masses: histologic basis for decreased signal (short T2) on T2-weighted MR images. AJR 148:1247–1250

    Article  PubMed  CAS  Google Scholar 

  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 19:782–787

    Article  PubMed  CAS  Google Scholar 

  16. Robbin MR, Murphey MD, Temple HT, Kransdorf MJ, Choi JJ (2001) Imaging of musculoskeletal fibromatosis. RadioGraphics 21:585–600

    Article  PubMed  CAS  Google Scholar 

  17. Healy JC, Reznek RH, Clark SK, Phillips RK, Armstrong P (1997) MR appearances of desmoid tumors in familial adenomatous polyposis. AJR 169:465–472

    Article  PubMed  CAS  Google Scholar 

  18. Carbotta G, Sallustio P, Prestera A, et al. (2016) Perineal Paget’s disease: a rare disorder and review of literature. Ann Med Surg 9:50–52

    Article  Google Scholar 

  19. Akaike G, Nozaki T, Matsusako M, et al. (2013) Magnetic resonance imaging for extramammary Paget’s disease: radiological and pathological correlations. Skelet Radiol 42:437–442

    Article  Google Scholar 

  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 35–37

    Google Scholar 

  21. Enzinger FM (1962) Liposarcoma. A study of 103 cases. Virchows Arch Pathol Anat 335:367–388

    Article  CAS  Google Scholar 

  22. Fletcher CD (2000) Soft tissue tumours. In: Fletcher CD (ed) Diagnostic histopathology of tumors, 2nd edn. London: Churchill Livingstone

    Google Scholar 

  23. Weiss SW, Goldblum JR (2001) Enzinger and Weiss’s soft tissue tumors, 4th edn. Mosby: Mosby

    Google Scholar 

  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 182:733–739

    Article  PubMed  Google Scholar 

  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 178:512–513

    Article  PubMed  Google Scholar 

  26. Becker M, Zaidi H (2014) Imaging in head and neck squamous cell carcinoma: the potential role of PET/MRI. BJR 87:20130677

    Article  PubMed  Google Scholar 

  27. Mackie RM (1992) Soft-tissue tumors. In: Champion RH, Burton JL, Ebling FJ (eds) Textbook of dermatology, 5th edn. Oxford: Blackwell, pp 2078–2079

    Google Scholar 

  28. Torreggiani WC, As-Ismail K, Munk PL, et al. (2002) Dermatofibrosacroma protuberans MR imaging features. AJR 178:989–993

    Article  PubMed  Google Scholar 

  29. Kransdorf MJ, Meis-Kindblom JM (1994) Dermatofibrosarcoma protuberans: radiologic appearance. AJR 163:391–394

    Article  PubMed  CAS  Google Scholar 

  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–W438

    Article  PubMed  Google Scholar 

  31. Kim HK, Kim SM, Lee SH, Racadio JM, Shin MJ (2011) Subcutaneous epidermal inclusion cysts: ultrasound (US) and MR imaging findings. Skelet Radiol 40:1415–1419

    Article  Google Scholar 

  32. Sung HH, Chung HW, Choi J, et al. (2006) MRI findings of subcutaneous epidermal cysts: emphasis on the presence of rupture. AJR 186:961–966

    Article  Google Scholar 

  33. Jackson IT, Carreño R, Potparic Z, Hussain K (1993) Hemangiomas, vascular malformations, and lymphovenous malformations: classification and methods of treatment. Plast Reconstr Surg 91:1216–1230

    Article  PubMed  CAS  Google Scholar 

  34. Moukaddam H, Pollak J, Haims AH (2009) MRI characteristics and classification of peripheral vascular malformations and tumors. Skelet Radiol 38:535–547

    Article  Google Scholar 

  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 415–446

    Chapter  Google Scholar 

  36. English JC 3rd, Patel PJ, Greer KE (2001) Sarcoidosis. J Am Acad Dermatol 44:725–746

    Article  PubMed  Google Scholar 

  37. Shinozaki T, Watanabe H, Aoki J, et al. (1998) Imaging features of subcutaneous sarcoidosis. Skelet Radiol 27:359–364

    Article  CAS  Google Scholar 

  38. Kelly AM, Cronin P (2005) MRI features of hidradenitis suppurativa and review of the literature. AJR 185:1201–1204

    Article  PubMed  Google Scholar 

  39. Parks RW, Parks TG (1997) Pathogenesis, clinical features and management of hidradenitis suppurativa. Ann R Coll Surg Engl 79:83–89

    PubMed  PubMed Central  CAS  Google Scholar 

  40. Hensen JJ, Van Breda Vriesman AC, Puylaert JBCM (2006) Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. AJR 186:616–620

    Article  PubMed  Google Scholar 

  41. Yarmish D, Sale E, Goldman DA, et al. (2017) Abdominal wall endometriosis: differentiation from other masses using CT features. Abdom Radiol 42:1517–1523

    Article  Google Scholar 

  42. Veloso TF (2004) Skin complications associated with inflammatory bowel disease. Aliment Pharmacol Ther 20:50–53

    Article  Google Scholar 

  43. Scaranelo AM, de Fatima Ribeiro Maia M (2006) Sonographic and mammographic findings of breast liquid silicone injection. J Clin Ultrasound 34:273–277

    Article  PubMed  Google Scholar 

  44. Venkataraman S, Hines N, Slanetz PJ (2011) Challenges in mammography. Part 2. Multimodality review of breast augmentation—imaging findings and complications. AJR 197:1031–1045

    Article  Google Scholar 

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Correspondence to David Becker-Weidman.

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Becker-Weidman, D., Mhuircheartaigh, J.N. & Mortele, K.J. The skinny on skin: MRI features of cutaneous and subcutaneous lesions detected on body MRI studies. Abdom Radiol 43, 2823–2850 (2018). https://doi.org/10.1007/s00261-018-1543-y

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