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Fig. 1A. —67-year-old woman with benign serous ovarian tumor. Axial single-detector helical CT was performed from common iliac vessels to left ovarian vascular pedicle. CT scans show asymmetrically enlarged left gonadal vein (arrow, A) anterior to psoas muscle, continuously and asymmetrically enlarged left gonadal vein (arrow, B) anterior to psoas muscle, and left gonadal vein (arrows, C) directly joining left ovarian cystic tumor through ovarian vascular pedicle.