There is a well-defined oval shape homogenous left adnexal lesion with adjacent ovarian follicles suggestive of an ovarian origin of the lesion. The lesion appears solid without cystic components, no fat or blood elements. It appears isointense on T1 and hypointense on T2. A diffuse hyperintense signal is seen on STIR images representing oedema. The lesion measures about 6.5 x 6 x 5.5 cm. Delayed homogenous enhancement is noted.
Features are likely representing a benign left ovarian lesion with a fibrous component (fibroma most likely). Differential diagnoses include broad ligament/ large pedunculated uterine fibroid, however less likely.
The uterus has a normal internal structure. Normal right ovary.
Normal urinary bladder. Mild amount of pelvic free fluid.
There is no apparent lymphadenopathy.
The femoral heads are normally shaped and articulate normally with the acetabula. They have normal bone-marrow signal characteristics.