Vaginal carcinomas are typically of intermediate signal intensity on Tlweighted images and relatively high signal intensity on T2-weighted images. Small tumours may be difficult to distinguish from the high signal epithelial layer and central mucus on T2-weighted images. Larger tumours can be seen invading the low signal vaginal wall and extending into the paracolpol fat. Tumours typically show early phase enhancement following intravenous Gd-DTPA. Very large tumours will commonly show central necrosis.
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