MRI - Pelvis
Axial T1
Axial T1 fat sat
Axial T2
Coronal T2
Sagittal T2
Axial T1 C+ fat sat
Coronal T1 C+ fat sat
Sagittal T1 C+ fat sat
The right ovary is markedly enlarged measuring 6 x 8.5 x 10 cm in maximum dimensions. It shows heterogeneous T2 predominantly hyperintense signal with two peripherally located cysts averaging 3-3.5 cm, one of them showing T2 hypointense signal the other one shows a fluid level. Heterogeneous T1 mixed hyper and hypointense signals. Minimal post-contrast enhancing internal strands.
Twisting of the right ovarian pedicle (best seen in axial T1 C+ fat sat sequence) with the uterus deviated to the right side. A rim of peri-ovarian T1 hyperintense fluid.
The left ovary is unremarkable.