Presentation
Pelvic pain. US shows mass in left ovary. MRI to better define the nature of this mass.
Patient Data
Age: 25 years
Gender: Female
From the case:
Ovarian endometrioma
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Large mass in the left adnexum showing T1 hyperintensity (confirmed to not be fat on fat suppression) and low signal on T2 indicative of blood product. This is in contrast to the right ovary containing typical water-filled cysts.
Case Discussion
Appearances are typical of the "chocolate" (old blood) content of endometrioma