27 year old female on MRI study shows well defined lesions in right adnexa measuring 13 x 9 cm abutting fundus of uterus. Other lesion with similar appearance is noted in Pouch of Douglas which arises from left ovary. It measures 7.3 x 5.3 cm. The lesions are hyperintense on T1W and hypointense on T2W sequence. Few nodular T1 hypointense and T2 hyperintense nodular foci are noted in larger right adnexal lesion. Peripheral hypointense rim is noted predominantly in left adnexal lesion. Cystic contents with heterogeneous pattern in larger leison, appear to be haemorrhagic products in variable stage predominantly in early subacute phase. Possibility of bilateral chocolate / haemorrhagic cysts appear to be likely. Case by Dr Swati Shah.
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