Endometrioma, fibroid and ovarian cyst

Case contributed by Natalie Yang
Diagnosis almost certain

Patient Data

Age: Adult
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Axial
T2
Axial T1
fat sat
Download
Info

A well defined subserosal myometrial lesion, appearing isointense on T1W and hypointense on T2W images, is seen arising from right lateral wall of uterus, suggesting fibroid.

A well defined thin-walled cystic lesion is seen in right ovary, appearing hyperintense on T1 fat-suppressed sequence, and hypointense on T2W images ('shading sign'), suggesting endometrioma.

Left ovary shows a round lesion, hypointense on T1W and hyperintense on T2W images, suggesting simple ovarian cyst.

Annotated image
Axial
T2
Axial
T1 FS
Download
Info

T2 annotated: E - endometrioma; F - uterine fibroid; C - ovarian cyst.

T1 FS annotated: E - endometrioma; F - uterine fibroid; C - ovarian cyst.

Case Discussion

Pelvic MRI demonstrating 

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.