EURORAD ESR

Case 2704

Bilateral theca lutein cysts associated with hydatidiform mole: MR findings

Author(s)
Bexiga A*, Cunha TM*, Penedo JP*, Oliveira C*, Tomé V** *Department of Radiology **Department of Medical Oncology
 
Patient
female, 21 year(s)
 
 
  • Figure 1
    Gross specimen of a complete hydatidiform mole.

    An image showing the gross specimen of a complete hydatidiform mole with the classic "cluster of grapes" appearance.

     
    Area of Interest: unknown; Imaging Technique: Gross specimen of a complete hydatidiform mole.;
     
     
  • Figure 2
    Chest X-Ray.

    A chest X-ray showing diffuse bilateral interstitial infiltrate and a small bilateral pleural effusion.

     
    Area of Interest: unknown; Imaging Technique: Chest X-Ray.;
     
     
  • Figure 3
    MR imaging.
     

    An axial T2-weighted image (lower abdomen) showing mild homogeneous hepatic enlargement, peri-hepatic and bilateral parieto-colic ascitis.

     
    Area of Interest: unknown; Imaging Technique: MR imaging.;

    An axial T2-weighted image showing uterine enlargement with partial volume of the corpus localized in a right position. There is a marked enlargement of the ovaries, containing multiple theca lutein cysts. The right...

     
    Area of Interest: unknown; Imaging Technique: MR imaging.;

    An axial T2-weighted image showing uterine enlargement with the loss of the normal zonal anatomy, without focal changes in the myometrium (yellow arrow), and heterogeneous contents in the endometrial cavity (green...

     

    A sagittal T2-weighted image showing uterine enlargement with the loss of the normal zonal anatomy, without focal changes in the myometrium (yellow arrow), and heterogeneous contents in the endometrial cavity (green...

     

    A sagittal T2-weighted image showing multiple theca lutein cysts in the left ovary.

     
    Area of Interest: unknown; Imaging Technique: MR imaging.;

    A sagittal contrast-enhanced T1-weighted image showing multiple theca lutein cysts in the left ovary.

     

    A sagittal contrast-enhanced T1-weighted image showing a homogeneous enhancement in the myometrium and uterine cervix. There is presence of fluid in the endometrial cavity (green arrow). Multiple theca lutein cysts in...

     
     
     
An image showing the gross specimen of a complete hydatidiform mole with the classic "cluster of grapes" appearance.
 
A chest X-ray showing diffuse bilateral interstitial infiltrate and a small bilateral pleural effusion.
 
An axial T2-weighted image (lower abdomen) showing mild homogeneous hepatic enlargement, peri-hepatic and bilateral parieto-colic ascitis.
 
An axial T2-weighted image showing uterine enlargement with partial volume of the corpus localized in a right position. There is a marked enlargement of the ovaries, containing multiple theca lutein cysts. The right ovary is in a retro-uterine position. Ascitis is seen in the parieto-colic fossa.
 
An axial T2-weighted image showing uterine enlargement with the loss of the normal zonal anatomy, without focal changes in the myometrium (yellow arrow), and heterogeneous contents in the endometrial cavity (green arrow). There is a marked enlargement of the ovaries containing multiple theca lutein cysts. The right ovary is in a retro-uterine position. Ascitis in the right iliac fossae and posterior to the right ovary can be seen.
 
A sagittal T2-weighted image showing uterine enlargement with the loss of the normal zonal anatomy, without focal changes in the myometrium (yellow arrow), and heterogeneous contents in the endometrial cavity (green arrow). Multiple theca lutein cysts in the right ovary, and mild ascitis in the cul-de-sac can be seen.
 
A sagittal T2-weighted image showing multiple theca lutein cysts in the left ovary.
 
A sagittal contrast-enhanced T1-weighted image showing multiple theca lutein cysts in the left ovary.
 
A sagittal contrast-enhanced T1-weighted image showing a homogeneous enhancement in the myometrium and uterine cervix. There is presence of fluid in the endometrial cavity (green arrow). Multiple theca lutein cysts in the right ovary in a retro-uterine position, and mild ascitis in the cul-de-sac can be seen.
 
 
 
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