Multimodality imaging of ovarian cystic lesions: Review with an imaging based algorithmic approach

Figure 13 Serous cystadenocarcinoma. A 53-year-old woman with lower pelvic discomfort, weight loss. Axial pre contrast T1 weighted image (A), axial T2 weighted image (B), axial fat suppressed post contrast T1 weighted image (C), showing a large complex right ovarian cystic lesion with septations, papillary projections and solid nodular components (arrowheads). Cystic component is low signal on pre contrast axial T1 weighted image and high signal on T2 weighted image (arrow). Septae, papillary projections and solid component are isointense on pre contrast T1 weighted and T2 weighted images with a significant post contrast enhancement.