Presentation
Infertility.
Patient Data
Age: 35 years
Gender: Female
From the case:
Ovarian dermoid cyst - uterine adenomyosis with leiomyomas
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Info
There is a large well-encapsulated ovoid mass arising from the left ovary, measuring 12 x 8 x 7 cm. It displays a complex signal on both T1 and T2, the main component is of fatty signal, attenuated on T1 fat sat with no enhancement on postcontrast sequences.
Thickening of the endometrial - myometrial junctional zone ranging from 14 to 20 mm with multiple uterine leiomyomas (Figo 4, 5 and 6).
Minimal effusion in Douglas pouch.
Case Discussion
The MRI features are most consistent with an ovarian dermoid cyst with uterine adenomyosis and leiomyomas.
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