PMC3200217_01
(a) Chest radiography showed a closed right-sided costaphrenic angle and minimal pleural effusion. (b) CT scan did not demonstrate any abnormality. (c) Pelvic US revealed a left adnexal semisolid mass, with a thick wall and septa.
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fig1
Her chest radiography showed a closed right-sided costophrenic angle and minimal pleural effusion without evidence of pneumonia (Figure 1(a)). Chest computed, tomography (CT) scans were performed 6 days after the onset of menstruation, and these did not demonstrate pleural effusion or any abnormality (Figure 1(b)). Pelvic US revealed a left adnexal semisolid mass, with a thick wall and septa, measuring 71 x 61 cm (Figure 1(c)).
(a-b) T1-weighted MR image shows a unilocular high-signalintensity mass on the left side. (c-d) T2-weighted image shows that the left-sided mass remains high in signal intensity. The variable appearance of the lesion is thought to reflect the blood products.
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MR imaging evaluated a left adnexal mass in 67 x 57 mm diameter with, high-signalintensity areas on T1- (Figures 2(a) and 2(b)) and T2-weighted (Figures 2(c) and 2(d)) images.
Photograph of the gross specimen reveals multiple dark-brown, hemorrhagic foci and irregular cysts in the internal surface.
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Macroscopic appearance showed multiple irregular hemorrhagic foci and chocolate cysts (Figure 3). 