Fig. 5

A 37-year-old female patient presented with pelvic pain, fever and leukocytosis a transvaginal ultrasound shows left adnexal well-defined bilocular cystic lesion of turbid content measures about 5 × 3 cm with preipheral vascular activity on color Doppler study b sagittal T2-weighted image shows well-defined left adnexal bilocular mixed signal intensity lesion displays high signal intensity on T2WI c axial T1-weighted image shows heterogeneous low and intermediate ground glass stain signal lesion d axial T1 post-contrast image shows intense post-contrast enhancement of its thick walls and incomplete septae. The internal septations reach 3 mm in thickness. e Diffusion-weighted image f ADC map shows diffusion restriction of the cyst contents with no restriction in wall nor septae, g Dynamic contrast enhancement, Curve type 1: Gradual increase without a well-defined shoulder findings are suggestive of ovarian abscess. Scoring: O-RADS US 3, COLOR SCORE 2, and O-RADS MRI 3, the lesion was diagnosed as left tubo-ovarian complex by histopathology