Ovarian endometriomas and diffuse adenomyosis
Dysmenorrhea with right lower abdominal pain.
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The uterus is diffusely enlarged with circumferential thickening of the endometrium-myometrium junctional zone (17 mm). There are two well-defined right ovarian cystic masses measuring (10x9.5x7.5 cm), and (4.3x4.1x3.8 cm) of high signal intensity on T1WI/T1 fat sat, low signal intensity on T2WI (mainly the largest cyst) with no peripheral enhancement seen on postcontrast sequences.
The left ovary is of normal size, containing small follicles.
Mild effusion is noted in the Douglas pouch.