MRI
Axial T1
Sagittal T2
Axial T2
Coronal T2
Axial T1 fat sat
Axial T1 C+ fat sat
Sagittal T1 C+ fat sat
Both ovaries are enlarged and located in close proximity, touching each other in the pouch of Douglas giving the kissing ovaries sign.
The right ovary shows unilocular cysts (largest measures 5.4 x 4.3 x 4 cm), as well as a small cystic lesion (2.5 x 2.2 x 1 cm) of high signal on T1/T1 fat, sat, low signal on T2 with no enhancement on postcontrast sequences in keeping with endometrioma.
The left ovary shows also a cystic lesion (4.8 x 4 x 35 cm) of high signal on T1/T1 fat sat, low signal on T2 with no enhancement on postcontrast sequences in keeping with endometrioma.
Normal appearance of the uterus.