case_images: PMC7758649_01
case_images: Pelvic ultrasound showing large complex left adnexal cystic mass.
case_images: 10.1177_2050313X20974222-fig1.jpg
case_images: PMC7758649_01_10.1177_2050313X20974222-fig1.jpg
case_images: fig1-2050313X20974222
case_images: She underwent a workup including (1) ultrasound which revealed a large cystic left ovarian mass and bilateral hydrosalpinges (Figure 1); (2) endometrial biopsy was done and the pathology results were benign; (3) pelvic CT confirmed a large pelvic mass; and (4) a pelvic and abdominal MRI with and without contrast that showed a large complex cystic mass arising from the left ovary measuring 16.6 x 12.1 x 8.6 cm3 with an area of irregular mural enhancement concerning for malignancy and bilateral hydrosalpinges.
case_images: (a) MRI showing large complex cystic left ovarian mass (blue arrow) and fibroid uterus with submucosal fibroids (red arrow). (b) MRI showing left hydrosalpinx (green arrow). (c) MRI sagittal view of the mass and uterus.
case_images: 10.1177_2050313X20974222-fig2.jpg
case_images: PMC7758649_01_10.1177_2050313X20974222-fig2.jpg
case_images: fig2-2050313X20974222
case_images: She underwent a workup including (1) ultrasound which revealed a large cystic left ovarian mass and bilateral hydrosalpinges (Figure 1); (2) endometrial biopsy was done and the pathology results were benign; (3) pelvic CT confirmed a large pelvic mass; and (4) a pelvic and abdominal MRI with and without contrast that showed a large complex cystic mass arising from the left ovary measuring 16.6 x 12.1 x 8.6 cm3 with an area of irregular mural enhancement concerning for malignancy and bilateral hydrosalpinges. There was no evidence of abdominopelvic lymphadenopathy (Figure 2).