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A sizeable pelvi-abdominal adnexal multilocular complex cystic lesion measuring about 12 x 18 x 23 cm in its largest AP, side to side and cephalo-caudal dimensions, respectively. It has a heterogeneous matrix; mainly cystic with multiple enhancing septa of variable thickness, multiple intralesional soft tissue nodules, scattered fat components and calcific elements. The lesion exerts mass effect in the form of displacement of bowel loops laterally and compression upon the urinary bladder.
There is another smaller lesion at the right side of Douglas pouch with fat content, probably another fat-containing ovarian lesion, suggestive of mature cystic teratoma.
Mild free ascites seen at the right peri-hepatic space and pouch of Douglas.