EURORAD ESR

Case 10646

Fibrothecoma of the ovary

Author(s)
Elisa Melo Abreu, Teresa Margarida Cunha

Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
 
Patient
female, 70 year(s)
 
 
  • Figure 1
    CECT images
     

    Axial CECT image shows the left fan-shaped suspensory ligament (white arrow) joining to a large left ovarian mass, a finding known as "ovarian suspensory ligament sign".

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal CECT image shows the left ovarian large mass, predominantly solid and heterogeneous, with small areas of fluid-attenuation. Note that the mass shows mild enhancement.

     
    Area of Interest: Abdomen; Imaging Technique: Absorptiometry / Bone densiometry; Procedure: Abscess delineation; Special Focus: Abscess;

    Sagittal CECT image shows the left ovarian mass extending cranially until the level of L4 vertebra. Note that there is no attachment between the lesion and the uterine fundus (white arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial CECT image demonstrates the coexistence of ascites in the upper abdomen, particularly in peri-hepatic and peri-splenic locations (white arrows).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Pelvic MRI
     

    Axial T1WI shows a hypointense left ovarian mass with smooth contours.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T2WI shows a heterogeneous, predominantly hypointense left ovarian mass. The remnant high signal intensity areas are consistent with cystic areas.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal T2WI shows a heterogeneous, predominantly hypointense left ovarian mass, that extends until the level of L4 vertebra. Note the small amount of peritoneal fluid seen in the pelvic cavity.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal T2WI shows a heterogeneous, predominantly hypointense left ovarian mass. The hyperintense components are consistent with cystic areas, that are isointense to peritoneal fluid seen in the pelvic cavity.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial fat-supressed gadolinium-enhanced T1WI shows mild enhancement of the left ovarian heterogeneous mass.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal fat-supressed gadolinium-enhanced T1WI shows mild enhancement of the left ovarian mass (less than myometrium). Note that there is no attachment between the lesion and the uterine fundus.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Axial CECT image shows the left fan-shaped suspensory ligament (white arrow) joining to a large left ovarian mass, a finding known as "ovarian suspensory ligament sign".
 
Coronal CECT image shows the left ovarian large mass, predominantly solid and heterogeneous, with small areas of fluid-attenuation. Note that the mass shows mild enhancement.
 
Sagittal CECT image shows the left ovarian mass extending cranially until the level of L4 vertebra. Note that there is no attachment between the lesion and the uterine fundus (white arrow).
 
Axial CECT image demonstrates the coexistence of ascites in the upper abdomen, particularly in peri-hepatic and peri-splenic locations (white arrows).
 
Axial T1WI shows a hypointense left ovarian mass with smooth contours.
 
Axial T2WI shows a heterogeneous, predominantly hypointense left ovarian mass. The remnant high signal intensity areas are consistent with cystic areas.
 
Sagittal T2WI shows a heterogeneous, predominantly hypointense left ovarian mass, that extends until the level of L4 vertebra. Note the small amount of peritoneal fluid seen in the pelvic cavity.
 
Coronal T2WI shows a heterogeneous, predominantly hypointense left ovarian mass. The hyperintense components are consistent with cystic areas, that are isointense to peritoneal fluid seen in the pelvic cavity.
 
Axial fat-supressed gadolinium-enhanced T1WI shows mild enhancement of the left ovarian heterogeneous mass.
 
Sagittal fat-supressed gadolinium-enhanced T1WI shows mild enhancement of the left ovarian mass (less than myometrium). Note that there is no attachment between the lesion and the uterine fundus.
 
 
 
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