Endometrioma, fibroid and ovarian cyst

Case contributed by Associate Professor Natalie Yang

Patient Data

Age: Adult
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

A well defined subserosal myometrial lesion, appearing isointense on T1W and hypointense on T2W images, is seen arising from right lateral wall of uterus, suggesting fibroid.

A well defined thin-walled cystic lesion is seen in right ovary, appearing hyperintense on T1 fat-suppressed sequence, and hypointense on T2W images ('shading sign'), suggesting endometrioma.

Left ovary shows a round lesion, hypointense on T1W and hyperintense on T2W images, suggesting simple ovarian cyst.

Annotated image

T2 annotated: E - endometrioma; F - uterine fibroid; C - ovarian cyst.

T1 FS annotated: E - endometrioma; F - uterine fibroid; C - ovarian cyst.

Case Discussion

Pelvic MRI demonstrating 

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