On T2-weighted images, varices usually seem small in signal intensity. On three-dimensional T1-weighted gradient-echo sequences with gadolinium, varices have substantial signal intensity.6,7,8 Contrast improvement with gadolinium increases visualization, and will even increase sensitivity if sequences are acquired Along with the affected person for the duration of a Valsalva maneuver.... https://sgvasculargrp.com/medical-condition/pelvic-congestion-syndrome/