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The MRI sequences demonstrate a huge well-defined abdominopelvic cystic mass of complex signal intensity. The main component appears of high signal on T1I/T2 with low signal sediment on T2 (blood products). The mural components are of intermediate signal on T1, intermediate-to high signal on T2. The largest mural nodule (Rokitansky nodule) shows a peripheral rim of high signal on T1, attenuated on T1 fat saturation (fatty component) with moderate heterogeneous enhancement on postcontrast sequences.
Normal appearance of the uterus.
Minimal intraperitoneal effusion.