Mature cystic ovarian teratoma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Left pelvic pain with a palpable mass.

Patient Data

Age: 35 years
Gender: Female

There is a large partially septated mass of complex signal arising from the left ovary measuring 12 x 11 x 10 cm. It shows a fat-fluid level with a floating nodule (Rokitansky nodule). The fatty component, as well as the floating nodule, are attenuated on T1 fat-saturated sequence.

Normal appearance of the uterus and right ovary.

Case Discussion

MRI features of a left ovarian mass of complex signal with a fat-fluid level and a floating Rokitansky nodule most consistent with a mature cystic teratoma.

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