Presentation
Left pelvic pain.
Patient Data
Well-defined ovoid left ovarian cyst of high signal on T1 with T2 "shading sign". No peripheral enhancement seen on postcontrast sequences, in keeping with an ovarian endometrioma
Thickening of the torus uterinus which may indicate deep endometriosis.
numerous small follicles are seen bilaterally, the largest measures 24 mm.
Normal appearance of the uterus.
Case Discussion
MRI features of an ovarian endometrioma with a deep infiltration.
Torus uterinus is abnormal and refers to a thickened attachment of the uterosacral ligaments at the posterior uterocervical junction due to endometriosis.