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DOI:10.2214/AJR.07.3509
AJR 2008; 191:364-370
© American Roentgen Ray Society


Pictorial Essay

MRI of Adnexal Masses in Pregnancy

Nicholas A. Telischak1, Benjamin M. Yeh1, Bonnie N. Joe1, Antonio C. Westphalen1, Liina Poder1 and Fergus V. Coakley1

1 All authors: Department of Radiology, University of California, San Francisco, Box 0628, Rm. M-372, 505 Parnassus Ave., San Francisco, CA 94143-0628.

OBJECTIVE. The objective of this article is to provide a practical review of the incremental benefit of MRI in the assessment of adnexal masses in pregnancy.

CONCLUSION. MRI can assist sonographic assessment of adnexal masses in pregnancy by depicting the characteristic findings of exophytic leiomyoma, red degeneration of leiomyoma, endometrioma, decidualized endometrioma, and massive ovarian edema. Accordingly, MRI should be considered as a useful adjunct when sonography is inconclusive or insufficient to guide management of adnexal masses discovered in pregnancy.

Keywords: adnexal mass • fetal imaging • MRI • obstetrics • women's imaging


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