Fig. 7
From: Diagnostic approach to adnexal lesions in young females in their second and third decades
A 19-year-old female patient was presenting with pelvic pain, she had idiopathic thrombocytopenic purpura. A. US and Doppler revealed a large complex echogenic oval mass with cystic spaces devoid of vascularity on color Doppler. B. Sagittal T2 W MRI, C. coronal T1 post-contrast, D. T2 SPAIR: left adnexal complex cystic lesion measuring 13.5 × 10.8x8.2 cm in its maximum dimensions. It appears of heterogeneous signal with a hyperintense component in T1 and T1 fat suppression with mixed intermediate and bright T2 signal (shading effect), the hypo intense part showed no contrast enhancement. No evidence of soft tissue component. Findings those of hemorrhagic cyst, on follow-up decreased in size with a newly developed one at the right side