Bilateral ovarian endometriomas

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Chronic pelvic pain.

Patient Data

Age: 25 years
Gender: Female

The right ovary shows a well-defined cystic lesion 27 x 20 x 20 mm of high signal on T1 and T1 fat sat, T2 shading sign with no contrast enhancement. Two small adjacent cysts measuring 4 mm and 6 mm of similar signal are also noted.

The left ovary also demonstrates a well-defined cystic lesion measuring 26 x 25 x 24 mm of high signal on T1 and T1 fat sat, T2 shading sign with no enhancement on postcontrast sequences.

Normal appearance of the uterus.

Case Discussion

MRI features most consistent with bilateral ovarian endometriomas.

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