EURORAD ESR

Case 12615

Ovarian dysgerminoma with torsion

Author(s)
Parveen Sulthana M, Saravana Kumar S, Malathi V, Sekhar KS

Billroth hospitals
Department of Radiology
Lakshmi talkies road
Shenoy nagar
Chennai-600 030, India
Email:drspjkmc@gmail.com
 
Patient
female, 21 year(s)
 
 
  • Figure 1
    Sagittal T2W MRI
     

    Sagittal T2W MRI shows a large mild heterogenously intermediate signal intensity abdomino-pelvic mass lesion with lobulated margins and few irregular T2W hyperintense areas within.

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

    Sagittal T2W MRI shows an enlarged ovary (*) with marked hyperintense signal of the stroma and peripherally placed follicles.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Axial T1W MRI

    Axial T1W MR image showing a lobulated hypointense mass lesion in the right lower abdomen. * points to the enlarged ovary along the medial aspect of the lesion.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Axial T2W MRI
     

    Axial T2W MR image showing a lobulated mild hyperintense mass lesion.

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

    Axial T2W MR image showing twisting (white arrow) of the right ovarian vascular pedicle.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Axial T2W MRI with and without fat sat
     

    Markedly enlarged ovary with T2W hyperintense signal and peripherally placed follicles along the medial aspect of the lesion in keeping with massive ovarian oedema. * points to the enlarged ovary with oedema.

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

    Markedly enlarged ovary with T2W hyperintense signal and peripherally placed follicles along the medial aspect of the lesion in keeping with massive ovarian oedema. * points to the enlarged ovary with oedema.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    Coronal T2W MRI
     

    Coronal T2W MR image showing the large heterogeneous signal intensity mass lesion with twisting (white arrow) of the ovarian vascular pedicle. Minimal free fluid is also noted.

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

    Coronal T2W MR image showing the large heterogeneous signal intensity mass lesion with twisting (white arrow) of the ovarian vascular pedicle. Minimal free fluid is also noted.

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

    Coronal T2W MR image showing the large heterogeneous signal intensity mass lesion with twisting (white arrow) of the ovarian vascular pedicle. Minimal free fluid is also noted.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 6
    Diffusion-weighted MRI
     

    Diffusion-weighted MR image showing areas of hyperintense signal within the mass lesion that showed hypointense signal on ADC in keeping with restricted diffusion.

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

    ADC map showing hypointense signal of the lesion.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 7
    Cine axial MR images

    Axial cine MRI showing a large heterogeneous mass lesion in the right adnexa with twisting of the ovarian vascular pedicle.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Sagittal T2W MRI shows a large mild heterogenously intermediate signal intensity abdomino-pelvic mass lesion with lobulated margins and few irregular T2W hyperintense areas within.
 
Sagittal T2W MRI shows an enlarged ovary (*) with marked hyperintense signal of the stroma and peripherally placed follicles.
 
Axial T1W MR image showing a lobulated hypointense mass lesion in the right lower abdomen. * points to the enlarged ovary along the medial aspect of the lesion.
 
Axial T2W MR image showing a lobulated mild hyperintense mass lesion.
 
Axial T2W MR image showing twisting (white arrow) of the right ovarian vascular pedicle.
 
Markedly enlarged ovary with T2W hyperintense signal and peripherally placed follicles along the medial aspect of the lesion in keeping with massive ovarian oedema. * points to the enlarged ovary with oedema.
 
Markedly enlarged ovary with T2W hyperintense signal and peripherally placed follicles along the medial aspect of the lesion in keeping with massive ovarian oedema. * points to the enlarged ovary with oedema.
 
Coronal T2W MR image showing the large heterogeneous signal intensity mass lesion with twisting (white arrow) of the ovarian vascular pedicle. Minimal free fluid is also noted.
 
Coronal T2W MR image showing the large heterogeneous signal intensity mass lesion with twisting (white arrow) of the ovarian vascular pedicle. Minimal free fluid is also noted.
 
Coronal T2W MR image showing the large heterogeneous signal intensity mass lesion with twisting (white arrow) of the ovarian vascular pedicle. Minimal free fluid is also noted.
 
Diffusion-weighted MR image showing areas of hyperintense signal within the mass lesion that showed hypointense signal on ADC in keeping with restricted diffusion.
 
ADC map showing hypointense signal of the lesion.
 
Axial cine MRI showing a large heterogeneous mass lesion in the right adnexa with twisting of the ovarian vascular pedicle.
 
 
 
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