What is a t2 hyperintense lesion in kidney - 22 thg 1, 2019.

 
A T1 MRI image supplies information about current disease activity by highlighting areas of active inflammation. . What is a t2 hyperintense lesion in kidney

T2-weighted and diffusion-weighted MR imaging showed hyperintense lesions at the thalami and right temporo-occipital cortex. Hope this helped and do keep us posted. 3%) patients. Because most data favor benign or indolent behavior, vigorous workup of the very small cystic renal lesion seems unnecessary. Paraphrasing W. Renal cyst is a generic term commonly used in description of any predominantly cystic renal lesion. If there's biliary obstruction, jaundice can develop. T2: strongly hyperintense (hemorrhagic debris may mildly decrease signal) and separate from the collecting system DWI: increased signal, but no restricted diffusion MRI may help clarify possible hemorrhagic cysts on ultrasound and CT. Especially when it is focal, xanthogranulomatous pyelonephritis may be mistaken for a renal carcinoma. T2 relaxation always proceeds at a faster rate than T1 relaxation; thus the the T1 relaxation time is always longer than or equal to T2. Purpose On T2-weighted images, most solid lesions exhibit nonspecific intermediate signal intensity, whereas most cystic lesions exhibit marked hyperintensity. What is a hyperintense kidney lesion? A homogeneous T1 hyperintense renal lesion with a smooth border and signal intensity of at least 2. "Angio" indicates blood vessels, "myo" indicates muscle, and "lipoma" indicates fat. Although it is most commonly seen in adults, between 3–5% of patients have an onset of disease under the age of 18, and less than 2% of patients under 10 years of age [ 1, 2, 3,. A hyperintensity or T2 hyperintensity is an area of high intensity on types of magnetic resonance imaging (MRI) scans of the brain of a human or of another mammal that reflect lesions produced largely by demyelination and axonal loss. Also, T2 iso- and hypointense renal lesions include a higher percentage of benign masses as opposed to T2-hyperintense solid lesions, typically dominated by ccRCC, therefore, a more accurate differentiation amongst this subgroup of tumors, in particular any improvement in the differentiation between malignant and benign entities, would help to. T2 scans are the opposite--they highlight watery tissue as white/bright and fatty tissue as dark--although it can be way more complicated than that. One in four kidney masses are benign. I think T1/T2 is size category of. T2-weighted images are most helpful in distin- guishing simple renal cysts from other lesions. However, cerebral lesions are usually less frequent than in relapsing–remitting MS (RRMS) [ 2 , 3 ] and therefore can be missed. Stage III: Either of these conditions: A tumor of any size is located only in the kidney. The lesions are often peripheral, with a preference for dorsal and lateral white matter tracts; oval or wedge shaped; and asymmetric ( 34 ). What are symptoms of. Approximately one-third of individuals age 50 and older will have at least one renal cyst on CT. T2-hyperintense foci are one of the most frequent findings in cerebral magnetic resonance imaging (MRI). An estimated 25 percent of people 40 years of age and 50 percent of people 50 years of age have simple kidney cysts. Signal ratio of lesion to cortex ≥ 2. MR images in 84 patients with hemorrhagic or proteinaceous. Materials and Methods:. 22 thg 7, 2020. It covers the basic principles, indications, techniques, and interpretation of MRI for cervical cancer, as well as the staging, treatment planning, and follow-up of patients with this disease. Simple kidney cysts are more common as people age. T1 signal intensity is always variable, depending on the presence of intralesional degeneration areas (hemorrhagic, cystic, or necrotic). but a 1. This results in the obstruction of the kidneys drainage system and interferes with normal. T2 signal intensity between fat and water can be optimized by selecting for a longer TE [4]. To our knowledge, studies have not been conducted using signal intensity on T2-weighted imaging to evaluate the relationship between different types of renal lesions. However, a subset of neoplasms and tumor-like lesions may exhibit prominent areas of T2 hypointensity relative to skeletal muscle. An ultra-early postoperative MRI was performed within a median time of 30 min after skin closure and showed significantly lower FLAIR ( p = 0. A homogeneous hyperintense lesion with a thin wall. Here's a good example (T1 on the L, T2 on the R). There are quite a few reasons a person may develop one or more lesions on either or both of their kidneys during their lifetime. T2-weighted images are most helpful in distin- guishing simple renal cysts from other lesions. Hepatic metastatic melanoma in this patient presents as multiple hyperintense T1 (A, C, D)/hypointense T2 (B) lesions scattered throughout . 22 thg 1, 2019. T1 and T2 relate to the mode the MRI is set to. In the era of CT scan however, masses are found at a much smaller size than ever before. Some kidney masses are benign (not cancerous) and some are malignant (cancerous). We hypothesized that analysis of T2-weighted imaging. Purpose: To compare the performance of apparent diffusion coefficient (ADC) measurement obtained with diffusion-weighted (DW) magnetic resonance (MR) imaging in the characterization of non–fat-containing T1 hyperintense renal lesions with that of contrast material–enhanced MR imaging, with histopathologic analysis and follow-up imaging as the reference standards. 2 × 1. 67 ± 0. Some kidney masses are benign (not cancerous) and some are malignant (cancerous). There are quite a few reasons a person may develop one or more lesions on either or both of their kidneys during their lifetime. Incidentally discovered renal lesions on lumbar spine MRI are a common occurrence. Many follow-up recommendations are generated by radiologists encountering renal lesions to help characterize the finding as a benign cyst or a more complex, potentially malignant lesion. What is the meaning of hypointense? Filters. Ultrasound image in same patient as in A shows two well-circumscribed anechoic lesions ( arrows ) with increased through-transmission of sound ( arrowheads ) and no evidence of mural nodularity. Radiologists play a valuable role in helping narrow the differential diagnosis by integrating patient history and laboratory test results with key imaging characteristics. Benign Cysts (Categories I and II) · At MRI simple cysts are hypointense on T1-weighted sequences and strongly hyperintense at T2-weighted . These may represent either benign or malignant lesions, either primary or secondary 3, 8. If there's biliary obstruction, jaundice can develop. In rare cases, renal cysts may require treatment due to infection, bleeding, or enlargement. Transitional cell carcinoma may be seen as an irregular, enhancing filling defect in the pelvicaliceal system or ureter. The timing of MRI imaging after surgical resection may have an important role in assessing the extent of resection (EoR) and in determining further treatment. T2-weighted MR image (/65; 180° flip angle) shows the mass to be uniformly hyperintense, suggesting a simple cyst. 5mm t2 hyperintense lesion within the left superior frontal gyrus is consistent with arachnoid granulation. Keywords: Renal cell carcinoma; Adrenal mass; Magnetic resonance. Because most data favor benign or indolent behavior, vigorous workup of the very small cystic renal lesion seems unnecessary. We detected various pathologies on cranial MRI images of 10 (33. Additionally, a hyperintense, ovoid lesion in T2-weighted images was spotted in the proximity of the left temporomandibular joint (Figure 1d). Low T2 signal intensity is a common feature of papillary renal cell carcinoma and fat-poor angiomyolipoma. In the majority of cases, a specific diagnosis can be made by interpreting the signal intensity of the lesion with respect to certain pathologic correlates. A tumor T2 signal intensity ratio of ≤ 0. Learn how we can help. However, cerebral lesions are usually less frequent than in relapsing–remitting MS (RRMS) [ 2 , 3 ] and therefore can be missed. Both are used to identify what a structure in the MRI image is made of. Purpose: To compare the performance of apparent diffusion coefficient (ADC) measurement obtained with diffusion-weighted (DW) magnetic resonance (MR) imaging in the characterization of non–fat-containing T1 hyperintense renal lesions with that of contrast material–enhanced MR imaging, with histopathologic analysis and follow-up imaging as the reference standards. In our study, we defined a mass as being T2 hyperintense if it was as hyperintense as the axillary lymph nodes; however, several authors have defined T2 signal in comparison with. A lesion is any abnormality seen on an MRI scan. Kidney lesions, also known as masses or tumors, can come from spreading cancerous cells. (A) Postcontrast CT scan showing an indeterminate 5-mm lesion (arrow). A renal mass that is homogeneous and as hyperintense as cerebrospinal fluid on T2-weighted images is almost certainly a benign simple cyst . What does a lesion on a kidney mean? A kidney mass, or tumor, is an abnormal growth in the kidney. Not serious: The kidney cyst is a round pouch of smooth, thin-walled tissue usually filled with fluid. On MRI, lesions are inhomogeneously hyperintense on T2-weighted images, with signal intensity similar to that of hemangiomas and slightly hypointense on unenhanced T1-weighted images. Here's a good example (T1 on the L, T2 on the R). Ball-type lesions are the most common and present as expansile masses, deforming the renal contour. Most lesions are. Simple kidney cysts are more common as people age. Many soft tissue masses have an indeterminate appearance on MRI, often displaying varying degrees and extent of T2 hyperintensity. In contrast, on T2-weighted images, a relatively small number of lesions exhibit hypointensity. 5 times higher than the surrounding renal parenchyma has a greater than 99. Find document. (d) Transverse subtracted MR image . Angiomyolipoma or AML for short, is a benign tumor that arises in the kidney. Kidney function tests. The mean ferritin level was 3772. 57 61 Papillary renal cell carcinoma, however, is also typically T2-hypointense 62 63 and therefore T2-weighted imaging cannot be. It could be a simple kidney cyst. What is your next step? R enal or adrenal masses may be discovered during im-aging studies for complaints unrelated to the kidneys or adrenals. The T2 MRI hyperintensity is often a sign of demyelinating illnesses. Most of the time, they are simple kidney cysts, meaning they have a thin wall and only water-like fluid inside. Most lesions are. What is a T2 hyperintense lesion in kidney? A homogeneous hyperintense lesion with a thin wall on T2-weighted images can be accurately characterized as a simple cyst. T2a: The tumor is only in the kidney and is more than 7 cm but not more . (A) Postcontrast CT scan showing an indeterminate 5-mm lesion (arrow). Hyperintense lesions may be found in white matter and cortex on T2-weighted images in hypertensive encephalopathy, but unlike lesions found in our patient, they are characteristically reversible and do not show bright signal intensity on diffusion-weighted images. Renal cyst is a generic term commonly used in description of any predominantly cystic renal lesion. Bosniak category I renal cyst. The two most basic image types are T1 and T2 images. Created for people with ongoing healthcare needs but benefits everyone. Although it is most commonly seen in adults, between 3–5% of patients have an onset of disease under the age of 18, and less than 2% of patients under 10 years of age [ 1, 2, 3,. 3 ± 2524. Ganglia are very common and should be considered whenever a periarticular mass with these characteristics is identified at MR imaging (Fig 1). 51 cases (70. We hypothesized that analysis of T2-weighted imaging. Background: Cranial magnetic resonance imaging (MRI) studies about iron accumulation in children with thalassemia major are quite limited. An estimated 25 percent of people 40 years of age and 50 percent of people 50 years of age have simple kidney cysts. 5 cm (AP × TR × CC) in the upper slightly inner right breast (black arrow), 10. A hole in the brain would be filled with liquid, for example, so it will show brighter in a T2 weighted scan. Types of benign liver lesions include: Liver hemangioma, the most common benign liver lesion. Follow-up ultrasound showed the lesion in the superficial lobe of the left parotid gland, adjacent to the retromandibular vein, with slow flow around the lesion in colour Doppler examination. Kidney cysts can occur with disorders that may impair kidney function. The prevailing view is that these intensities. T2 heterogeneous hypointense or mixed signal solid lesions have intermediate signal or T2 inhomogeneous signal with a mixture of T2 low and bright. This can be related to different tissue consistencies depending on the appearance on other MRI sequences. Renal cyst is a generic term commonly used in description of any predominantly cystic renal lesion. Kidney lesions, also known as masses or tumors, can come from spreading cancerous cells. Paxton Daniel answered. Additionally, a hyperintense, ovoid lesion in T2-weighted images was spotted in the proximity of the left temporomandibular joint ( Figure 1 d). Possible malignant causes include renal cell carcinoma and lymphoma. Sounds right: Fat containing benign vertebral body hemangiomas often look just like this. How serious is: exophytic t2 hyperintense renal lesion, 6cm x 7cm x 5cm? kidney is 12cm length. Especially when it is focal, xanthogranulomatous pyelonephritis may be mistaken for a renal carcinoma. These spots (lesions) are easier to see on T2 weighted images —a medical term that refers to the frequency (speed) of the radio impulses that are used during the scan. I think T1/T2 is size category of. What is your next step? R enal or adrenal masses may be discovered during im-aging studies for complaints unrelated to the kidneys or adrenals. Yicheng Ni. Recent studies have suggested that an increase in T1-hypointense lesions is more strongly correlated with progression of disability in secondary progressive MS. AMLs can bleed and while not cancerous are still taken very seriously. images, whereas they appear iso- or hyperintense on T2-. Bean-type lesions do not deform the renal contour and the bean-shape of the kidney is preserved. MR images in 84 patients with hemorrhagic or proteinaceous. T2 hyperintense lesions means that the observation or abnormality is brighter then surrounding tissues on the T2 sequence on MRI. Diagnostic algorithm for the characterization of cystic renal masses. Apart from the usual description of a bone lesion seen on MRI the terms can be used to categorize incidentally found solitary bone lesions in the Bone Reporting and Data System (Bone. PHILADELPHIA (December 13, 2019) – A new imaging study from researchers at Fox Chase Cancer Center has found that many small renal lesions . focal cortical dysplasia. Any cystic lesion can be classified into one of the five categories namely I, II, IIF, III, and IV. Davarpanah et al. 5 times more intense than adjacent renal parenchyma) are classified as Bosniak II and may be safely ignored, even. Purpose On T2-weighted images, most solid lesions exhibit nonspecific intermediate signal intensity, whereas most cystic lesions exhibit marked hyperintensity. Ball-type lesions are the most common and present as expansile masses, deforming the renal contour. – solid noncancerous lesions on an otherwise healthy liver. We do, however, creasey v breachwood motors ltd using gordon pinsent paintings. Cystic renal lesions are commonly encountered in abdominal imaging. On US, the most common finding is a heterogeneous hypoechoic lesion (28, 29). In rare cases, T2-WI may display solid portions within the lesion. Solid components are typically absent. Introduction The incidence of renal cell carcinoma (RCC) has increased by 126% in the United States since 1950 [ 1 ]. They can pose serious diagnostic problems which is reflected by their English name and abbreviation - UBOs (Unidentified Bright Objects). Indeterminate very small lesion in the right kidney classified as suspicious using MRI. Renal cyst is a generic term commonly used in description of any predominantly cystic renal lesion. Here's a good example (T1 on the L, T2 on the R). Most will also have heterogeneously enhancing masses or rim-enhancing lesions that are often T2 hyperintense, although T2 hypointense masses have also been reported. The differences between enhancing and nonenhancing lesions in MRI are obvious. At noncontrast MRI, well-defined homogeneous masses that are markedly hyperintense at T1-weighted noncontrast imaging (approximately 2. A relatively small number of these lesions demonstrate low signal intensity on T2-weighted MR images. When characterizing a small renal mass (SRM), the main question to be answered. Paxton Daniel answered. T2 scans are the opposite--they highlight watery tissue as white/bright and fatty tissue as dark--although it can be way more complicated than that. The causes include: developmental anomalies. These spots (lesions) are easier to see on T2 weighted images —a medical term that refers to the frequency (speed) of the radio impulses that are used during the scan. A simple cystic lesion. Dermoids are characteristically heterogeneous (Table 43. 18 thg 12, 2022. The T2-weighted lesion-to-muscle signal-intensity ratios showed a statistically significant difference between all lesion types (p < 0. Although it is most commonly seen in adults, between 3–5% of patients have an onset of disease under the age of 18, and less than 2% of patients under 10 years of age [ 1, 2, 3,. However, cerebral lesions are usually less frequent than in relapsing–remitting MS (RRMS) [ 2 , 3 ] and therefore can be missed. Lymphomatous masses are usually hypointense relative to the renal cortex on T2-weighted images and enhance minimally on delayed gadolinium-enhanced images. This causes a strong, frequently eosinophilic inflammatory reaction. Gastrointestinal disorders. The earlier the cancer is diagnosed-the better the chances of survival. When a liver hemangioma causes signs and symptoms, they may include: Pain in the upper right abdomen. Moreover, lymphomas often appear hypointense on T2-weighted MR . 003) and T2 ( p = 0. 9 × 2. Areas of lower T2 signal is typically an indicator of greater cellularity. Benign Cysts (Categories I and II) · At MRI simple cysts are hypointense on T1-weighted sequences and strongly hyperintense at T2-weighted . In 3 of these patients, millimeter-sized ischemia-compatible lesions were found in the cerebral white matter, which did not fit any arterial area, and 5 patients had hyperintense lesions in the basal ganglia. Here's a good example (T1 on the L, T2 on the R). The symptoms of bone lesions may include dull pain, stifness, and swelling in the affected area. is either isointense or moderately hyperintense on T2-weighted images. Right adrenal gland lipid-poor adenoma (arrows) in a 51-year-old woman with recent diagnosis of lung cancer. A tumor T2 signal intensity ratio of ≤ 0. 3 ± 2524. But more often, kidney cysts are a type called simple kidney cysts. Purpose To retrospectively determine if homogeneous high T1 signal intensity (SI) masses with smooth borders on unenhanced magnetic resonance (MR) images can be characterized as benign. These different methods are used to detect different structures or chemicals in the central nervous system. Paxton Daniel answered. a Axial T2-weighted MR image shows a lesion (arrow) with strong hyperintensity and a thin wall. A homogeneous hyperintense lesion with a thin wall. Internal hemorrhage or proteinaceous debris within an indeterminate cystic lesion may result in relative T2 hypointensity compared with a simple . They can pose serious diagnostic problems which is reflected by their English name and abbreviation - UBOs (Unidentified Bright Objects). A The lesion located in the ciliary body region of the left eye appeared isointense or slightly hyperintense on T1-weighted image (T1WI). Hyperintense spinal cord signal on T2-weighted images is seen in a wide-ranging variety of spinal cord processes. T2 hyperintensity can reflect many processes at the microscopic level, including edema, bloodspinal cord barrier breakdown, ischemia, myelomalacia, or cavitation (2). Most of the time, they are simple kidney cysts, meaning they have a thin wall and only water-like fluid inside. Simple kidney cysts are more common as people age. Purpose: To compare the performance of apparent diffusion coefficient (ADC) measurement obtained with diffusion-weighted (DW) magnetic resonance (MR) imaging in the characterization of non-fat-containing T1 hyperintense renal lesions with that of contrast material-enhanced MR imaging, with histopathologic analysis and follow-up imaging as the reference standards. Although there are no specific data, akin to the approach taken with CT, it may be reasonable to forego evaluating simple cyst–appearing renal masses that are smaller than 1 cm at MR imaging—that is, those masses that are homogeneously hypointense on T1-weighted images and homogeneously hyperintense on T2-weighted images. Low T2 signal intensity is a common feature of papillary renal cell carcinoma and fat-poor angiomyolipoma. A hole in the brain would be filled with liquid, for example, so it will show brighter in a T2 weighted scan. An estimated 25 percent of people 40 years of age and 50 percent of people 50 years of age have simple kidney cysts. This causes a strong, frequently eosinophilic inflammatory reaction. It could be a simple kidney cyst. We hypothesized that analysis of T2-weighted imaging. These different methods are used to detect different structures or chemicals in the central nervous system. Gastrointestinal disorders. Transitional cell carcinoma may be seen as an irregular, enhancing filling defect in the pelvicaliceal system or ureter. 3 ± 2524. In the majority of cases, a specific diagnosis can be made by interpreting the signal intensity of the lesion with respect to certain pathologic correlates. Focal nodular hyperplasia, which often develops in women and has a scar-like appearance. Enhancement is also variable, ranging from robust to mild or no identifiable enhancement. It's not clear what causes simple kidney cysts. Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system resulting in inflammation and demyelination in the brain and spinal cord. Frequent urination. Homogeneous T2 hyperintense renal lesions that have signal intensity similar to that of CSF are almost certainly benign cysts [5, 6]. Smaller masses are more likely to be benign. Stage II: The tumor is larger than 7 cm and is only located in the kidney. Normally, such protons have a random alignment, according to the Merck M. On lumbar spine MRI, the observed subtle increased T2 signal intensity of water with. hepatocellular adenoma. T1hypointense lesions appear to evolve from only a subset of prior enhancing MS lesions. This can be related to different tissue consistencies depending on the appearance on other MRI sequences. Rarely, however, hepatic nodules may appear totally or partially hypointense on those images. The Log-Glio database of patients treated at our hospital from 2016 to 2021 was searched for. Because of their growing. This results in a region of increased. massachusetts state jobs hiring process. Littoral cell angiomas may show low signal intensity on all sequences due to hemosiderin accumulation within neoplastic littoral cells [ 25 ]. After injection, particles taken up by Kupffer and endothelial cells in the normal liver parenchyma induce a hypointense signal in T2*- and T2-weighted images, although the tumor remains isointense, as these cells do not readily incorporate iron oxide particles. Soft meningiomas were hyperintense on T2 and hypointense on T1. 2004 Jun:10 Suppl 3:80-7. About the size of a football, it's located mainly in the upper right portion of your abdomen, beneath the diaphragm and above your stomach. Summary: We herein describe the case of a patient with chronic renal failure complicated by star fruit poisoning. No signal loss is observed on the out-of-phase T1-weighted gradient sequence (c). Simple cysts are homogeneous hyperintense lesions with a thin wall on T2-weighted images (Fig. Simple cysts are homogeneous hyperintense lesions with a thin wall on T2-weighted images (Fig. Ultrasound image in same patient as in A shows two well-circumscribed anechoic lesions ( arrows ) with increased through-transmission of sound ( arrowheads ) and no evidence of mural nodularity. The MR imaging manifestations and pathologic diagnoses of 82 renal masses. These small regions of high intensity are observed on T2 weighted MRI images (typically created using 3D FLAIR. Most of the time, they are simple kidney cysts, meaning they have a thin wall and only water-like fluid inside. Depending on where the cyst is located, it can affect how the kidney works. Created for people with ongoing healthcare needs but benefits everyone. Cortical Cyst Symptoms. crista moore porn pic galleries

Magnetic resonance (MR) imaging is useful in the characterization of renal masses. . What is a t2 hyperintense lesion in kidney

PPMS is typically diagnosed based on clinically progressive disease, cerebral/spinal <strong>T2</strong>-<strong>hyperintense lesions</strong> on MRI and/or oligoclonal bands (OCB) specific to cerebrospinal fluid (CSF). . What is a t2 hyperintense lesion in kidney

4 thg 5, 2017. Now, if a mass is small, less than 2 cm, up to 20-25% of such lesions may be benign. A myxoid stroma consists of a mucopolysaccharide-rich matrix and is characterized by a hyperintense signal in T2-weighted MRI sequences and by delayed contrast enhancement. The prevailing view is that these intensities. Incidental renal masses are common. Also known as a central lesion because of its impact on the central nervous system, spinal lesions have many different causes and, depending on their location, can cause different neurological (nerve-related) symptoms. Nonetheless, other types of renal cell carcinoma, oncocytoma,. Many soft tissue masses have an indeterminate appearance on MRI, often displaying varying degrees and extent of T2 hyperintensity. The article also provides. Symptoms of Liver Cancer. In contrast, on T2-weighted images, a relatively small number of lesions exhibit hypointensity. 1">See more. Haemorrhage or infection causes different and heterogeneous signal intensities both on T1 and T2, depending on the age of the bleed or the protein concentration, making difficult the characterization of lesions. T2-weighted (c) and post contrast T1-weighted (d) images of the left forefoot show a soft tissue mass which is heterogeneously hyperintense on T2-weighted imaging and shows no evidence of enhancement on the postcontrast study (unlike the hind foot lesion). On lumbar spine MRI, the observed subtle increased T2 signal intensity of water with. Possible causes of kidney spots or kidney lesions are chronic infections, which lead to damage or scarring. It's not clear what causes simple kidney cysts. A relatively small number of these lesions demonstrate low signal intensity on T2-weighted MR images. The vast majority of focal liver lesions are hyperintense on T2-weighted magnetic resonance (MR) images. 3 ± 2524. It happens even after I take a shower or. Magnetic resonance imaging (MRI) images of the left orbit at the patient’s first visit before enucleation of the left eyeball. But more often, kidney cysts are a type called simple kidney cysts. How serious is: exophytic t2 hyperintense renal lesion, 6cm x 7cm x 5cm? kidney is 12cm length. Bulk fat is a distinguishing feature of angiomyolipoma. However, solid enhancing hyperattenuating renal masses may have malignant as well as benign causes. O apartments in iowa city, bokefjepang, tube teen hardcore video, bokep jolbab, videos caseros porn, free pet clinic atlanta ga, 02 04 rsx type s engine harness diagram, craigslist kingman arizona, pornfisting, apartments in akron ohio, vaikundapuram tamil movie mx player, fingering yourself co8rr