Fig. 9
From: Diagnostic approach to adnexal lesions in young females in their second and third decades
A 17-year-old female patient presented with abdominal distension (A). The US shows a solid lobulated mass left adnexal lesion. B and C color Doppler application showing central and peripheral vascularity and a small mass seen inside the follicle in the right ovary. D coronal CT showing solid enhancing mass with a large left para-aortic lymph node. E MRI images T1 and T1 post-contrast showing Typical enhancing septa. F Diffusion and ADC map showing restricted diffusion, note small restricted mass in the right ovary (blue arrow). Imaging suggestive of bilateral dysgerminoma stage 3 and the pathology confirmed the diagnosis of dysgerminoma