MRI
Axial T2
Coronal T2
Axial T1
Coronal T1 C+
Axial DWI
Axial ADC
Coronal T1 C+ fat sat
The MRI safety questionnaire documented 'IUCD removed 2 weeks ago' - is this relevant?
Yes. Tubo-ovarian abscess is part of the spectrum of pelvic inflammatory disease, which is can be associated with IUCD, especially if they have been in place for sometime.
Which organism is highly associated with IUCD related infection?
Actinomycosis. Colonisation is common.
Ultrasound performed by gynaecologist 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.