Ovarian cystic teratoma (with pathognomonic multiple floating ball appearance)
Patient presented with pelvic swelling.
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Well-defined large pelvic cystic lesion with multiple floating balls showing slightly elevated T1 signal, compatible with fat content.
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 tumor markers, serological tests for echinococcosis, can be considered as limited.