Evidence of soft tissue space occupying lesion epicentered upon the right side of the sacrum with multispatial extensions showing the following criteria:
- size: it measures roughly 9.3 x 11.3 x 8.1 cm regarding its maximum dimensions
- signal pattern: heterogeneous signal intensities are noted, mainly T1 hypo, T2 hyperintense signal intermingled with T1 hyper and T2 hypointense foci ( suspected calcific rather than haemorrhagic)
- extensions: the lesion is expanding the right sacral foramina with anterior extension into the pelvic cavity displacing the uterus and the rectum, superiorly, extending upward within the intraspinal canal to the level of SV2, inferiorly to the right side of the perineum, laterally to the left sacral neural foramina and bounded by both iliac muscles and iliac bones
- enhancement pattern: postcontrast heterogeneous enhancement
- DWI: foci of restriction are noted
The right ovarian hemorrhagic cyst is noted measuring 3 x 4 cm.