Endometrioma
Diagnosis almost certain
Updates to Study Attributes
Caption
was added:
Pelvis
Findings
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Left adnexal lesion :shows high T1 signal faton fat suppressed sequence, T2 dark spot sign and T2 shading.
Right adnexal lesion: high shows high T1 signal faton fat suppressed sequence, T2 and T2 shading; with elongated lobular appearance, suggestive of Haematosalpinxhaematosalpinx.
FluidMinimal fluid is seen in vesicouterine pouch.
Updates to Case Attributes
Status
changed from pending review to published (public).
Published At
was set to
.
Body
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BilateralMRI study shows left endometrioma; with shading and T2 dark spot signs. Right haematosalpinx is also noted with the same features and MRI signals as endometrioma
Right. There is a reported association by endometrioma and haematosalpinx.
-<p>Bilateral endometrioma</p><p>Right haematosalpinx</p>- +<p>MRI study shows left <a title="Endometrioma" href="/articles/endometrioma">endometrioma</a>; with <a title="Shading sign (endometrioma)" href="/articles/shading-sign-endometrioma">shading</a> and <a title="T2 dark spot sign" href="/articles/t2-dark-spot-sign">T2 dark spot</a> signs. Right <a title="Haematosalpinx" href="/articles/haematosalpinx">haematosalpinx</a> is also noted with the same features and MRI signals as endometrioma. There is a reported association by endometrioma and haematosalpinx.</p>
Updates to Quizquestion Attributes
Answer
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1: Hemorrhagic. hemorrhagic cysts also appear hyperintense on T1-weighted images, but typically do not
have T2 shading (they are typically bright on T2-weighted images) and T2 dark spot ;
2: Ovarian
2. ovarian dermoid cysts also appear hyperintense on T1-weighted images, butsignal loss on fat-saturated sequences ;
3: Cystic
3. cystic neoplasms show heterogeneous T1 signal and enhancement ;
4: Tubo
4. tubo-ovarian abscess presents as a T1 hypointense lesion and T2 heterogeneous to hyperintense signal, with wall and surrounding soft tissue enhancement.
Updates to Quizquestion Attributes
Answer
was changed:
T2 dark spot: Defined sign is defined as a hypointense focus on T2-weighted images. It is a marker of chronic hemorrhagehaemorrhage (haemosiderin-laden macrophages and fibrous component).
Updates to Quizquestion Attributes
Answer
was changed:
Shading sign : Dueis due to repeated hemorrhage haemorrhage, endometriomas show hyperintense on T1-weighted sequences with varying levels of hypointensity on T2-weighted sequences (complete loss of signal intensity or hypointense layering fluid level).
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