Ovarian endometriomas

Case contributed by Ammar Haouimi
Diagnosis almost certain


Chronic right pelvic pain.

Patient Data

Age: 25 years
Gender: Female

The right ovary shows two well-defined cystic lesions measuring (80 x 75 x 72 mm) and (18 x 16 x 11 mm) of high signal on T1 and T1 fat sat, T2 shading with no peripheral enhancement on postcontrast sequences in keeping with ovarian endometriomas.

Small follicles of the left ovary, the largest (2.5 cm) show hypointense sediment with peripheral enhancement (hemorrhagic).

Minimal effusion in Douglas pouch is noted.


Case Discussion

MRI features of ovarian endometriomas.

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