Fig. 4

O-RADS MRI score 5 in a 56-year-old-female complaining form progressive abdominal enlargement, weight loss and malaise A Axial T1WI, B axial T2WI: Bilateral prominently solid adnexal lesions of low T1 and intermediate T2 SI (black arrows) with moderate ascites (white arrows) and few peritoneal nodules [arrow heads] C DWI: Restricted diffusion of the solid components D coronal postcontrast T1 WI showing heterogeneous contrast enhancement (with enhancement pattern categorized as high risk). This was pathologically proven bilateral high grade serous carcinoma involving both tubes and ovaries with detected lympho-vascular emboli