Ovarian dermoid

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Pelvic pain

Patient Data

Age: 25 years
Gender: Female
mri

Fat-containing cystic lesion, measuring approximately 55 x 56 x 56 mm (AP x TD x CC) in the left ovary. It is abutting anterior abdominal wall anteriorly, urinary bladder medially and external iliac vessels laterally.

Case Discussion

Findings are consistent with ovarian dermoid. Care should be taken to not interpret the presence or absence of fat in a lesion on STIR images as even the hemorrhage in endometriomas can suppress on STIR.

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