Bartholin gland cyst

Case contributed by Ammar Haouimi
Diagnosis almost certain



Patient Data

Age: 45 years
Gender: Female

There is a well-defined unilocular cystic lesion arising from the left lateral wall of the lower vagina at and below the pubic symphysis. It appears of low signal intensity on T1WI, high signal intensity on T2WI with hypointense fluid-fluid levels (chronic blood products). No peripheral enhancement seen on postcontrast sequences. 

Uterus and both ovaries show normal appearance.

Case Discussion

MRI features of a Bartholin gland cyst.

On imaging, the differential diagnosis includes:

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