MR Imaging in a case of severe anorexia nervosa: the 'flip-flop' effect.

Abstract:

:We report an MR imaging phenomenon that can lead to misinterpretation. The unique appearance of the soft tissues and bone marrow in a 19-year-old severely malnourished woman with anorexia nervosa raised concerns about technical failure or systemic pathology. Due to extreme fat depletion, the T1-weighted images appeared to be fat-suppressed and the fat-suppressed fluid-sensitive images appeared to be non-fat-suppressed ("flip-flopped"). Failure to recognize the influence of a patient's overall nutritional status on MR images may cause confusion and misdiagnosis.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

DiVasta AD,Mulkern RV,Gordon CM,Ecklund K

doi

10.1007/s00247-014-3145-3

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

617-20

issue

4

eissn

0301-0449

issn

1432-1998

journal_volume

45

pub_type

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