Polycystic ovarian syndrome

Case contributed by Mostafa El-Feky

Presentation

Hirsutism, obesity, hyperandrogenemia and menstrual irregularities.

Patient Data

Age: 20 years
Gender: Female

MRI pelvis

mri

Both ovaries are enlarged in size; averaging 20 cc for each. Both showed numerous small immature follicles (>12 in number). A small nabothian cyst is also noted.

Case Discussion

The diagnosis of polycystic ovarian syndrome is made on the combined clinical, biochemical and sonographic features. The classical triad of PCOS is oligomenorrhea, hirsutism and obesity. The presence of abundant hypointense central stroma with small peripheral T2 hyperintense cysts is said to be the characteristic appearance.

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