Presentation
Intermittent pelvic pain with a complex pelvic mass on ultrasound. MRI for characterization.
Patient Data
Age: 40 years
Gender: Female
From the case:
Ovarian dermoid cyst
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- a well-circumscribed lobulated mass arising from the left ovary measuring 85 x 75 x 60 mm of complex signal intensity. The main component is of fatty signal with Rokitansky nodule, attenuated on T1 fat sat sequences
- small intramural leiomyoma (17 mm) is noted (Figo 4)
- another small well-defined left ovarian mass measuring 27 x 22 x 20 mm, isointense to the myometrium on both T1 and T2 probably ovarian fibroma
- small hydrosalpinx well-visualized on coronal T2 sequence
No signs of torsion were seen on Doppler ultrasound (not shown).
From the case:
Ovarian dermoid cyst
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Annotated images:
- red arrow: small hydrosalpinx
- yellow arrow: probable small ovarian fibroma
Case Discussion
MRI features of a large ovarian dermoid cyst with small hydrosalpinx and probably small ovarian fibroma.
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