Ovarian endometriomas - shading sign

Case contributed by Dr Heba Abdelmonem


Left ovarian lesion on ultrasound.

Patient Data

Age: 35-40 years
Gender: Female

Two well defined cystic lesions at the left ovarian region, the largest one measures 55 x 61 mm and exhibits characteristic T2 shading in the form of a high signal on T1 and low signal on T2. The smaller one measures 40 x 24 mm and exhibits signal of high in T1 and lower high on T2WIs. No soft tissue components. Both lesions are of restricted diffusion.

Right ovary exhibits normal size and harbors multiple small follicles. No abnormal solid or cystic mass. A normal variant of an arcuate uterus with normal uterine contour and myometrium fundal indentation.

Case Discussion

Left ovarian cystic lesion with shading sign of an endometrioma.  

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Case information

rID: 66596
Published: 26th Feb 2019
Last edited: 2nd Mar 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Zagazig University Hospital

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