Ovarian mature cystic teratoma (ovarian dermoid)
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Bilateral well-defined complex ovarian cystic lesions are noted. They have a heterogeneous matrix with different components; the lesions are mainly cystic with multiple thin enhanced septa of variable thickness, areas of fat density, minute dots of calcifications at the periphery and small enhancing soft tissue nodular projection into the lumen (Rokitansky nodule) evident in the left-sided lesion.
A dermoid cyst is the most common fat containing lesion arising from the ovary.