Annotated saggita...
Annotated saggital T2 image highlighting multiple malignant features of this complex tumour, including solid components (thick arrows) and papillary projections (arrowheads) in a cystic mass. Ascites and peritoneal nodules are present (thin arrows) representing peritoneal metastatic involvement. Note also haemorrhagic locule within the mass with a fluid-fluid level (asterisk)
System: Gynaecology
Modality: Annotated image

- “ This is a high grade, stage IV ovarian cystadenocarcinoma with local and distant metastases (including metastasis to the umbilicus - "Sister Mary ...”

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