PMC6737443_01
A 19-year-old individual with ovotesticular disorder of sex development who presented with progressive bilateral breast enlargement. (a) Midsagittal T2-weighted MRI section shows a small male phallus (blue arrow). (b) Parasagittal T2-weighted MRI section through the prostatic urethra demonstrates a hypoplastic prostate (green arrow), a normal-looking vagina (yellow arrow), and a hypoplastic uterus (red arrow). (c) Parasagittal T2-weighted MRI section depicts a hypoplastic prostate (green arrow), a normal- looking vagina (yellow arrow), and a hypoplastic uterus (red arrow). (d) Parasagittal T2-weighted MRI section through the left inguinal region shows the undescended left gonad (purple arrow).
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F1
There was a well-circumscribed lesion in the left inguinal region showing a heterogeneous high signal, compatible with the left gonad. The penis was smaller than normal [Figure 1].
A 19-year-old individual with ovotesticular disorder of sex development who presented with progressive bilateral breast enlargement. (a) Parasagittal T2-weighted MRI section through the left inguinal region shows the left gonad containing a large number of high signal foci, consistent with cystic areas (arrow). (b) Parasagittal T2-weighted MRI section through the left inguinal region demonstrates the vas deferens adjacent to the left gonad (arrow). (c) Coronal short tau inversion recovery MR image shows the left gonad located in the left inguinal region (arrow). (d) Axial fat-suppressed T2-weighted MR image depicts the undescended left gonad (arrow).
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F2
Vas deferens was visible adjacent to the left gonad [Figure 2].
A 19-year-old individual with ovotesticular disorder of sex development who presented with progressive bilateral breast enlargement. (a) Coronal short tau inversion recovery MR image shows the hypoplastic prostate (green arrow) and the hypoplastic uterus (red arrow). (b) Coronal short tau inversion recovery MR image demonstrates multiple disorganized tubular structures at both seminal vesicle locations (blue arrows). Note the hypoplastic uterus adjacent to the bladder (red arrow). (c) Axial fat-suppressed T2-weighted MR image depicts the hypoplastic prostate (green arrow). (d) Axial fat-suppressed T2-weighted MR image shows multiple disorganized tubular structures at both seminal vesicle locations (blue arrows).
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F3
T2-weighted sections through the prostate and seminal vesicles showed a small prostate and multiple disorganized tubular structures at both seminal vesicle locations [Figure 3]. The right gonad could not be detected in any imaging sequence.