MRI
Axial STIR
Sagittal T2
Axial T2
Axial T1
Axial T1 C+ fat sat
Axial Gradient Echo
Large pelvic lesion predominantly T2 hypointense lesion, measuring approx. 53 x 77 x 71mm (AP x TD x CC) is seen in the pelvis in the midline, extending towards the right side and occupying the pouch of Douglas. The lesion contains cystic/necrotic and haemorrhagic areas within. Multiple tiny cysts are seen at its periphery, possibly representing ovarian follicles. It is displacing the uterus towards the right side, indenting the urinary bladder anteriorly and right ovary right laterally.
Tortuous structure is seen at left lateral aspects of above mentioned lesion, likely twisted vascular pedicle. Small volume free fluid in the abdomen.