MRI
Axial T1
Axial T1 fat sat
Axial T2
Sagittal T2
Coronal T2
Axial DWI
Axial ADC
Well-circumscribed complex mass in the right lower flank and iliac fossa with mainly two components
- a fatty component of high signal intensity on both T1 and T2 attenuated on T1 fat sa
- a complex solid floating component (Rokitansky nodule) with attenuation of the central fatty component on T1 fat sat, containing a haemorrhagic area of high signal intensity
Note engorged vessels with mild effusion around the mass. The left ovary is well-visualised on T2 sequences.