Ovarian endometrioma - T2 shading sign

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Pelvic pain.

Patient Data

Age: 30 years
Gender: Female

The left ovary shows one large cystic lesion measuring 5 x 5.5 x 6 cm with T1/T1 fat sat hyperintensity and T2 shading effect with no enhancement on postcontrast sequences, in keeping with an ovarian endometrioma.

Mild free fluid is present within the pelvic cavity.

Case Discussion

MRI features of an ovarian endometrioma with T2 shading sign.

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