EURORAD ESR

Case 9625

A 32-year-old nulliparous woman with long term right pelvic pain

Author(s)
Bartumeus Martinez P PhD, Martí-Bonmatí L MD

Department of Radiology,
Dr Peset University Hospital,
Valencia, Spain
 
Patient
female, 32 year(s)
 
 
  • Figure 1
    Transabdominal sonography

    Transabdominal sonography showing an elongated cystic thick-walled pelvic mass, with diffuse low-level homogeneous echoes.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 2
    Sagittal T2-weighted fast spin-echo MR image

    Sagittal T2-weighted fast spin-echo image shows an intermediate signal intensity ovoid mass in the cul-de-sac with thick walls and low signal intensity heterogeneous dependent content. Uterine fundus leiomyoma.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts; Haemorrhage; Tissue characterisation;
     
     
  • Figure 3
    STIR MR image

    Axial short inversion time inversion-recovery (STIR) weighted MR image that shows the intermediate signal intensity ovoid mass in the cul-de-sac with thick low signal walls and low signal heterogeneous content. Pelvic...

     
    Area of Interest: Genital / Reproductive system male; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts; Haemorrhage; Tissue characterisation;
     
     
  • Figure 4
    T1-weighted MR image before contrast medium administration

    T1-weighted MR image in transverse plane before gadolinium administration.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts; Haemorrhage; Tissue characterisation;
     
     
  • Figure 5
    T1-weighted MR image after contrast medium administration

    T1-weighted MR image in transverse plane after gadolinium administration with uniform enhancement of thick walls.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts; Haemorrhage; Tissue characterisation;
     
     
  • Figure 6
    Delayed contrast-enhanced fat-suppressed T1-weighted MR image

    Delayed contrast-enhanced fat-suppressed T1-weighted MR image: hyperintense mass with uniform enhancement of walls. Uterine fundus leiomyoma.

     
    Area of Interest: Genital / Reproductive system female; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts; Haemorrhage; Tissue characterisation;
     
     
  • Figure 7
    Diffusion-weighted inverted MR image

    Diffusion-weighted large b-value signal inverted MR image: mild diffusion restriction of thick walls of the mass.

     
    Area of Interest: Genital / Reproductive system female; Pelvis; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Cysts; Haemorrhage; Tissue characterisation;
     
     
Transabdominal sonography showing an elongated cystic thick-walled pelvic mass, with diffuse low-level homogeneous echoes.
 
Sagittal T2-weighted fast spin-echo image shows an intermediate signal intensity ovoid mass in the cul-de-sac with thick walls and low signal intensity heterogeneous dependent content. Uterine fundus leiomyoma.
 
Axial short inversion time inversion-recovery (STIR) weighted MR image that shows the intermediate signal intensity ovoid mass in the cul-de-sac with thick low signal walls and low signal heterogeneous content. Pelvic free fluid.
 
T1-weighted MR image in transverse plane before gadolinium administration.
 
T1-weighted MR image in transverse plane after gadolinium administration with uniform enhancement of thick walls.
 
Delayed contrast-enhanced fat-suppressed T1-weighted MR image: hyperintense mass with uniform enhancement of walls. Uterine fundus leiomyoma.
 
Diffusion-weighted large b-value signal inverted MR image: mild diffusion restriction of thick walls of the mass.
 
 
 
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