Presentation
Pelvic discomfort.
Patient Data
Age: 85 years
Gender: Female
From the case:
Serous inclusion cysts of the ovary
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Well-defined unilocular right ovarian cyst (4.5 cm) of homogeneous fluid content with minimal surrounding effusion. It displays a low signal on T1, a high signal on T2 with no restricted diffusion or evident enhancement on postcontrast sequences. No internal septation or solid component.
Heterogeneous endometrial thickening (15 mm), thickness >5 mm in a postmenopausal woman is considered abnormal (biopsy is required).
Case Discussion
The patient's age (postmenopausal) and MRI features are most consistent with serous inclusion cyst.
For recommendations of ovarian cysts in postmenopausal women, please refer to the article: ovarian cysts.
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