Adnexal lesion (ovarian)

MRI is helpful to confirm and characterize adnexal lesions, and to determine disease extent and response to therapy.

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Ovarian carcinoma with cystic foci and mural nodules.
Ovarian carcinoma with cystic foci and mural nodules.
Unusual pattern of metastasis that is clearly within the liver, as opposed to the usual pattern of capsular implants.
Unusual pattern of metastasis that is clearly within the liver, as opposed to the usual pattern of capsular implants.
This is confirmed on multiple views.
This is confirmed on multiple views.
MRI of an adnexal lesion seen on ultrasound (circle). The lesion definitely contains fat as evidenced by india inking (dashed arrow) and also has fluid-fluid levels (arrow). This permits confident diagnosis as a dermoid.
MRI of an adnexal lesion seen on ultrasound (circle). The lesion definitely contains fat as evidenced by india inking (dashed arrow) and also has fluid-fluid levels (arrow). This permits confident diagnosis as a dermoid.
MRI of cystic lesion seen on ultrasound in a patient with history of multiple bowel surgeries. Images show right ovary surrounded by fluid, characteristic of a peritoneal inclusion cyst.
MRI of cystic lesion seen on ultrasound in a patient with history of multiple bowel surgeries. Images show right ovary surrounded by fluid, characteristic of a peritoneal inclusion cyst.
References
  1. Sala E, Kataoka MY, Priest AN, et al. Advanced Ovarian Cancer: Multiparametric MR Imaging Demonstrates Response- and Metastasis-specific Effects. Radiology 2012; 263:149-159. PubMed link
  2. Kyriazi S, Collins DJ, Messiou C, et al. Metastatic ovarian and primary peritoneal cancer: assessing chemotherapy response with diffusion-weighted MR imaging–value of histogram analysis of apparent diffusion coefficients. Radiology 2011; 261:182-192. PubMed link
  3. Moyle P, Addley HC, Sala E. Radiological staging of ovarian carcinoma. Semin Ultrasound CT MR 2010; 31:388-398. PubMed link
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