Abdominal pain with palpable pelvic mass.
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Ultrasound performed by gynecologist prior to MRI request - query degenerative fibroid
Multi-septated thick walled mass on the left side of the pelvis, displacing the uterus medially. This contains focal cystic filled spaces, which exhibit diffusion restriction. The wall and septa of the mass avidly enhance. Perilesional free fluid. Ovary not separately identified.
2 case question available
Case DiscussionThe appearances of the left sided pelvic mass are consistent with a tubo-ovarian abscess. The diffusion restriction of the internal contents are similar to those observed in other body systems, such as the brain, in the context of an abscess.
- 1. Takeshita T, Ninoi T, Doh K et-al. Diffusion-weighted magnetic resonance imaging in tubo-ovarian abscess: a case report. Osaka City Med J. 2010;55 (2): 109-14. Pubmed citation
- 2. Kim MY, Rha SE, Oh SN et-al. MR Imaging findings of hydrosalpinx: a comprehensive review. Radiographics. 2009;29 (2): 495-507. Radiographics (full text) - doi:10.1148/rg.292085070 - Pubmed citation
- 3. Oto A, Schmid-Tannwald C, Agrawal G et-al. Diffusion-weighted MR imaging of abdominopelvic abscesses. Emerg Radiol. 2011;18 (6): 515-24. Emerg Radiol (full text) - doi:10.1007/s10140-011-0976-1 - Pubmed citation