PMC6683816_01
The ultrasound pelvis showed a multicystic avascular structure in the right adnexa measuring 4.5 x 4.3 x 3.3cm. Another multicystic avascular structure was seen in the left adnexa measuring 5.4 x 4.4 x 4.1cm. These could possibly represent polycystic ovaries containing multiple cysts.
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fig1
The transvaginal sonography showed endometrial thickness of 3 mm with polycystic ovaries containing multiple avascular cysts (Figure 1).
MRI abdomen and pelvis showed the presence of a large heterogeneous predominantly solid mass arising from the left ovary with cystic areas within. The solid components showed restricted diffusion and avid contrast enhancement. The mass was measured 8.4 x 6.1 x 8.9 cm. The solid components were hyperintense to muscle on T2w imaging and iso/hypointense on T1w imaging.
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fig2
There was no evidence of adrenal mass or abdominal or pelvic lymphadenopathy (Figure 2).