Presentation
Cyclic lower abdominal pain of several months duration.
Patient Data
Age: 40 years
Gender: Female
From the case:
Ovarian fibroma
![](https://prod-images-static.radiopaedia.org/images/13728966/557daa22bfa90c455f72007e00f7fd_thumb.jpg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/13729464/1e5262bf8fc562b2d0a8f2ddc1248b_thumb.jpg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/13729632/8850876ed95c40acbbcf5557161641_thumb.jpg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/13729777/da69d5cf75a49facd79db1c1b6be28_thumb.jpg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/13730433/425f9bea55b88f082e20acbb624384_thumb.jpg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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Info
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A large well-circumscribed, irregular shape left adnexal mass that returns iso signal on T1, low signal on T2 and STIR with avid enhancement on post-contrast scan. There are multiple cystic changes within the lesion.
Case Discussion
Ovarian fibroma is a benign connective tissue tumor arising from the ovarian stroma. Its differential diagnosis includes pedunculated subserous fibroid. MRI findings were suggestive of ovarian fibroma and this was followed by excisional biopsy and histopathology which confirmed the diagnosis.