Case contributed by Bahman Rasuli
Diagnosis almost certain


An ovarian mass was seen in the ultrasound. History of pelvic pain.

Patient Data

Age: 45 years
Gender: Female

Right ovarian mass with uniformly intermediate T2 and high T1 signal (T2 shading sign).  Appearance is in keeping with an endometrioma.  

A large enhanced heterogeneous intramural mass noted in the posterior wall of the uterus, measuring about 6.6 x6.0 cm, in keeping with a large leiomyoma.

Nabothian cyst also noted at the left cervical wall.

Case Discussion

MRI features are in keeping with a right ovarian endometrioma.

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