Presentation
Pelvic swelling.
Patient Data
Age: 30 years
Gender: Female
From the case:
Mature cystic ovarian teratoma - floating balls sign
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Well-defined large pelvic cystic lesion with multiple floating balls showing slightly elevated T1 signal, compatible with fat content.
Case Discussion
The appearance of intracystic floating balls is rarely seen but is pathognomonic for mature cystic teratoma 1.
When this typical appearance is found on imaging, the value of other diagnostic tests, such as tumour markers, serological tests for echinococcosis, can be considered as limited.