Adenomyosis with endometrioma

Discussion:

The left ovary shows complex cystic mass that has low T1WI, high T2WI central content. The key finding for the diagnosis is the high T1WI, dark T2WI rim which is not suppressed by fat saturation. These are in keeping with blood and in the presence of adenomyosis, this is highly suggestive of an endometrioma.

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