Presentation
Pelvic mass discovered on ultrasound exam in pregnant patient at 11 weeks.
Patient Data
The MRI sequences demonstrate a well-defined lobulated right adnexal mass, measuring (12x11x7.5 I'm), displaying an iso-to slightly high signal to the myometrium on T1WI, low signal with areas of high signal on T2WI with restricted diffusion on DWI/ADC.
First trimester pregnancy.
Post contrast sequences were not performed (pregnant patient).
Minimal effusion is seen in Douglas pouch.
MRI exam performed two months after complete surgical resection of the right ovarian mass.
No residual mass or recurrence seen in the right adnexal region.
No abdominal or pelvic lymphadenopathy.
Second trimester pregnancy.
Case Discussion
MRI features of a right ovarian tumor, pathologically proven as a low-grade serous cystadenocarcinoma.
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