Fig. 4
From: Diagnostic approach to adnexal lesions in young females in their second and third decades
A 22-year-old female patient presented with abdominal distension (A and B). The left ovary is grossly enlarged and replaced with a heterogeneous, hyperechoic mass with multiple cystic areas within it. The mass contains extensive internal vascularity. MRI images, coronal and sagittal T1 (C and D), and sagittal T2 (E) showing a solid-cystic mass in the lower abdominal-pelvic region is not seen separately from the left ovary. It is of variable signal intensity with multiple solid areas noted within it. Central areas of fluid are seen coronal T2 images (F) showed replaced normal right ovary (red arrow) as well as multiple para-aortic lymph nodes. The AFP was highly elevated, so an ovarian yolk sac tumor was highly suggested which was confirmed also by pathology