Gestational Trophoblastic Disease: A Multimodality Imaging Approach with Impact on Diagnosis and Management

Figure 14

GTN with vaginal metastases. Sagittal T2-weighted MR image shows a lobulated heterogeneously hyperintense myometrial mass with ill-defined margins (arrowheads) and effacement of normal zonal anatomy of uterus. Two morphologically similar lesions (arrows) are seen in the vaginal wall consistent with metastases, which were missed on initial ultrasound.