55 year-old with abdominal pain and clinically palpable pelvic mass
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Ultrasound performed by gynecologist prior to MRI request - query degenerative fibroidMulti-septated thick walled mass in the left side of the pelvis, displacing the uterus medially. This contains focal cystic filled spaces, which exhibit diffusion restriction. The wall and septae of the mass avidly enhance. Perilesional free fluid. Ovary not separately identified.
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Case DiscussionThe appearances of the left sided pelvic mass are consistent with a tubo-ovarian abscess. The diffusion restriction of the internal contents are similar to those observed in other body systems, such as the brain, in the context of an abscess.
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- 1. Oto A, Schmid-Tannwald C, Agrawal G et-al. Diffusion-weighted MR imaging of abdominopelvic abscesses. Emerg Radiol. 2011;18 (6): 515-24. Emerg Radiol (full text) - doi:10.1007/s10140-011-0976-1 - Pubmed citation