Adenomyosis with endometrioma

Case contributed by Dr Ahmed Almuslim
Modality: Ultrasound

Complex avascular adnexal mass.

Modality: MRI

See below. 

Case Discussion

The left ovary shows complex cystic mass that has low T1WI, high T2WI central content. The key finding for the diagnosis is the high T1WI, dark T2WI rim which is not suppressed by fat saturation. These are in keeping with blood and in the presence of adenomyosis this is highly suggestive of an endometrioma.

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Case Information

rID: 6753
Case created: 16th Aug 2009
Last edited: 22nd Oct 2015
System: Gynaecology
Inclusion in quiz mode: Included

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