Presentation
Cyclic lower abdominal pain. Left adnexal solid mass lesion on US exam.
Patient Data
Age: 35 years
Gender: Female
From the case:
Ovarian fibroma
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Well-defined left adnexal solid mass, measuring 20 x 30 x 40 mm. It appears of low signal intensity on T1, and very low signal intensity on T2 without obvious post-contrast enhancement. No evidence of water restriction is depicted on DWI images.
Case Discussion
MRI features are most consistent with the left ovarian fibroma. Ovarian fibroma is a benign tumor that arises from the ovary connective tissues. It is often difficult to differentiate from a pedunculated subserous fibroid.