Radiopaedia.org

Large, well-defined, complex right ovarian mass measuring 11.3 x 9.2 x 9.0 cm, having both enhancing solid soft tissue components and non-enhancing cystic spaces. Sizable complex left ovarian lesion measuring 7.5 x 7.0 x 4.3 cm, with prominent peripheral and internal calcifications. A small cyst measuring 1.0 x 1.0 cm, having peripheral calcifications, is seen in the cervix. Thickened and calcified peritoneum underlying the left anterior abdominal wall and left iliac fossa, and scattered focal calcifications along the peritoneal covering of the liver, spleen, stomach and small bowel, likely representing diffuse peritoneal metastases. A few bilateral enlarged external iliac lymph nodes. Enlarged liver (18 cm) with two well-defined, rounded focal lesions measuring 12 x 10 mm and 7 x 7 mm in segment 8 and 4A respectively, suspicious of hepatic metastases. No ascites.