Ovarian fibrothecoma

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Pelvic pain

Patient Data

Age: 30 years
Gender: Female
mri
This study is a stack
Sagittal
T2
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Axial T1
fat sat
This study is a stack
Coronal
T2
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
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Info

There is a well-circumscribed left centro-ovarian ovoid soft tissue mass of intermediate signal intensity on T1WI, low signal intensity on T2WI (fibrous component) with central high signal areas representing most likely areas of cystic degeneration +/- edema. Mild heterogeneous enhancement is noted on postcontrast sequences. Bilateral hydrosalpinx is noted.

Normal appearance of the uterus.

The right ovary shows normal appearance with small follicles.

 

Case Discussion

The MRI features are most consistent with an ovarian fibrothecoma

The differential diagnosis should include 1:

 

 

Additional contributor: A, Ramdani, MD

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