Presentation
Right lower quadrant pain with a complex right adnexal mass on ultrasound.
Patient Data
Age: 45 years
Gender: Female
From the case:
Ovarian serous cystadenocarcinoma
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Right ovarian unilocular cystic mass of high signal on T1WI/T2WI with a dependent low signal T2WI (intralesional hemorrhage), containing papillary projections. The projections are of intermediate signal on T1WI/T2WI with moderate enhancement and restricted diffusion on DWI/ADC.
The left ovary is normal in appearance.
Mild peritoneal effusion in the pouch of Douglas.
Case Discussion
MRI features of a right ovarian mass with a hemorrhagic cystic component and solid papillary projections which show restricted diffusion, probably representing a serous cystadenocarcinoma.
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