Ovarian mature cystic teratoma

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Pelvic pain.

Patient Data

Age: 30 years
Gender: Female

Pelvis

mri

Right adnexal multiseptated cystic lesion averaging around 5.5 x 7 x 7.5 cm in maximum AP, CC and side to side dimensions. It shows mixed signal intensity of both fat and high proteinaceous material. Its wall and internal septae are mostly < 3 mm with few borderline septae of 3 and 3.5 mm. 

Normal MRI features of the left ovary, no left adnexal lesions.

Minimal Douglas pouch collection.  

Case Discussion

The right adnexal cystic lesion showed T1 and T2 hyperintense nulling on fat suppression sequence consistent with fat content and T1 hyper and T2 hypointense persistent on fat suppression suggestive of high proteinaceous material. Features are consistent with right ovarian mature cystic teratoma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.