Presentation
Pain, and infertility.
Patient Data
Age: 35 years
Gender: Female
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Altered signal intensity lesion containing fat with hemorrhage/calcification in the left adnexa. Left ovary is not visualized separately. Fat component suppresses on STIR/T1 fat sat images.
Case Discussion
Altered signal intensity lesion containing fat with hemorrhage/calcification in the left adnexa. Left ovary is not visualized separately. Care must be taken to differentiate such lesions from endometriomas as they often appear hypointense on STIR images. Hence, T1 fat sat sequences are of utmost importance to differentiate between hemorrhage and fat.
Above findings are suggestive of left ovarian dermoid (mature cystic teratoma).
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