Presentation
Right flank pain for 3 weeks and microscopic hematuria. History of simple right adnexal cyst.
Patient Data
no radiopaque calculi are seen in the kidneys, ureters and urinary bladder; no hydronephroureter is seen on either side; tiny opacities in the right hemi pelvis which are outside the line of the distal ureter and are likely phleboliths
enlarged liver measuring approximately 21 cm and spleen measuring 13 cm
large well-defined simple fluid density cystic structure measuring 7.0 x 8.0 cm in the right iliac fossa. No calcifications are seen in it
anechoic right adnexal/para-ovarian cyst measuring 7.0 x 8.6 cm
no septations, internal soft tissue components or internal vascularity
large unilocular cyst measuring 9 cm seen in the right adnexa, which is likely an exophytic cyst arising from the right ovary; no septations or solid component; no evidence of invasion into the surrounding structures; no diffusion restriction or abnormal enhancement is seen in it
normal left ovary
bulky uterus
no free fluid is seen
no significant lymphadenopathy
Histopathology of the excised right ovarian cyst showed serous cystadenoma.
Case Discussion
Imaging features are suggestive of a benign right ovarian cyst, like serous cystadenoma which was later confirmed histopathologically.
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