Ovarian fibroma

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Cyclic lower abdominal pain. Left adnexal solid mass lesion on US exam.

Patient Data

Age: 35 years
Gender: Female
mri
This study is a stack
Sagittal
T2
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Axial
T2
This study is a stack
Axial T2
fat sat
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Axial
T1
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Axial T1
fat sat
This study is a stack
Coronal
T1
This study is a stack
Coronal T2
fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Axial
DWI
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Info

Well-defined left adnexal solid mass, measuring 20 x 30 x 40 mm. It appears of low signal intensity on T1, and very low signal intensity on T2 without obvious post-contrast enhancement. No evidence of water restriction is depicted on DWI images.

Case Discussion

MRI features are most consistent with the left ovarian fibroma. Ovarian fibroma is a benign tumour that arises from the ovary connective tissues. It is often difficult to differentiate from a pedunculated subserous fibroid.

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