Chemical shift artifact along the section-select axis

Chemical shift artifact (CSA), familiar to radiologists along the frequency-encoding axis, also occurs along the section-select axis. The authors observed a case in which CSA mimicked a renal mass. Subsequent retrospective analysis of 50 abdominal magnetic resonance (MR) imaging studies was performed to assess occurrence of CSA adjacent to the upper and lower renal poles. CSA along the section-select axis was observed in 76% of cases and adjacent to 39% of all renal poles imaged. CSA along the section-select axis is common in abdominal MR imaging and may occasionally mimic disease.