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Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: The impact of using ovarian-adnexal reporting data system magnetic resonance imaging (O-RADS MRI) score on risk stratification of sonographically indeterminate adnexal masses

Fig. 4

A 32-year-old female patient complaining of pain and fullness in lower abdomen. a transabdominal ultrasound reveals left adnexal well-defined cystic lesion of mixed echogenicity measures about 13 × 11 cm with calcification, no vascular activity on color Doppler b Axial T1-weighted image shows well-defined left adnexal lesion measures about 11 × 13 × 8 cm, T1WI display mixed high signal (cystic) and isointense (fatty element) with evidence of low signal calcification inside. c axial T2-weighted image with isointense fatty element and low signal (cystic element) d sagittal T1Post contrast no pathologically enhanced lesions. e Axial STIR shows suppression of the fatty element. f Diffusion-weighted image and (G) ADC map: the lesion shows no areas of restricted diffusion. Scoring: O-RADS US 3, COLOR SCORE 1, and O-RADS MRI 2, the lesion was diagnosed as left ovarian dermoid by histopathology

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