Presentation
Dysmenorrhea, menorrhagia.
Patient Data
Age: 40 years
Gender: Female
From the case:
Endometriosis - ovarian endometrioma and pararectal implant
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MRI shows bilateral ovarian lesions with characteristic T2 shading (shading sign), with slight signal intensity layering in the left lesions. This is compatible with bilateral endometriomas.
A more subtle finding in this case is a nodular implant located on the right side of the superior rectum, with intermediate signal in T1 and T2.
Case Discussion
In the clinical context, the MRI findings are compatible with an endometriosis implant.