Question:
A 35-year-old nullipara female presented with dull aching pain with exacerbation during the menstrual cycle. USG reveals a heterogeneous mass in the right adnexa. MRI reveals a 4 x 5 cm T1 hyperintense mass with no suppression on fat-saturated images. T2-weighted images show low signal with dark shading. Diagnosis?
A 35-year-old nullipara female presented with dull aching pain with exacerbation during the menstrual cycle. USG reveals a heterogeneous mass in the right adnexa. MRI reveals a 4 x 5 cm T1 hyperintense mass with no suppression on fat-saturated images. T2-weighted images show low signal with dark shading. Diagnosis?
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Endometriomas are typically seen as T1 hyperintense and T2 hypointense masses on MRI, often with a history of menstrual pain and infertility.
Updated On: Mar 24, 2025
- Dermoid cyst
- Endometrioma
- Ovarian cancer
- Para-Ovarian Cyst
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The Correct Option is B
Solution and Explanation
The clinical presentation and MRI findings, including T1 hyperintensity and T2 hypointensity with dark shading, are characteristic of an endometrioma, also known as a "chocolate cyst." This condition is caused by the presence of endometrial tissue in the ovaries, often associated with dysmenorrhea and infertility.
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