Xanthogranulomatous Oophoritis
MR Imaging Findings with Pathologic Correlation
Seung Eun Jung1,
Jae Mun Lee1,
Kyo-Young Lee2,
Ku Taek Han3 and
Seong Tai Hahn1
1
Department of Radiology, St. Mary's Hospital, The Catholic University of
Korea, #62 Youido-dong Yongdungpo-gu, Seoul 150-713, Korea.
2
Department of Clinical Pathology, St. Mary's Hospital, The Catholic University
of Korea, Seoul 150-713, Korea.
3
Department of Obstetrics and Gynecology, St. Mary's Hospital, The Catholic
University of Korea, Seoul 150-713, Korea.

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Fig. 1A. 48-year-old woman with xanthogranulomatous oophoritis. Axial
T2-weighted turbo spin-echo MR image (TR/TE, 3900/99) (A) and axial
T2-weighted image obtained 15 mm caudad to A(B) reveal right-sided
xanthogranulomatous oophoritis (solid arrows) with high signal
intensity (similar to that of water) and multiple low-signal-intensity
internal septations. Lesion shows unevenly thickened wall with multiple
clustered hyperintense nodules (arrowheads). Left-sided hemorrhagic
cyst (open arrows) shows three chambers with high signal
intensity.
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Fig. 1B. 48-year-old woman with xanthogranulomatous oophoritis. Axial
T2-weighted turbo spin-echo MR image (TR/TE, 3900/99) (A) and axial
T2-weighted image obtained 15 mm caudad to A(B) reveal right-sided
xanthogranulomatous oophoritis (solid arrows) with high signal
intensity (similar to that of water) and multiple low-signal-intensity
internal septations. Lesion shows unevenly thickened wall with multiple
clustered hyperintense nodules (arrowheads). Left-sided hemorrhagic
cyst (open arrows) shows three chambers with high signal
intensity.
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Fig. 1C. 48-year-old woman with xanthogranulomatous oophoritis. Axial
T1-weighted spin-echo MR image (800/12) shows right-sided xanthogranulomatous
oophoritis (arrows) with low signal intensity and left-sided
hemorrhagic cyst (arrowheads) with different signal in each
chamber.
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Fig. 1D. 48-year-old woman with xanthogranulomatous oophoritis. On
fat-suppressed T1-weighted MR image obtained after gadolinium enhancement,
right-sided xanthogranulomatous oophoritis shows marked enhancement of
thickened wall (arrowheads) and multiple clustered unenhanced
intramural nodules (arrows).
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Fig. 1E. 48-year-old woman with xanthogranulomatous oophoritis.
Photograph of histopathologic specimen of right-sided xanthogranulomatous
oophoritis shows yellowish intramural nodules (arrows) representing
xanthogranuloma within thickened wall.
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Fig. 1F. 48-year-old woman with xanthogranulomatous oophoritis.
Photomicrograph of histopathologic specimen shows abundant foamy histiocytes,
multinucleated giant cells, and chronic inflammatory cells. (H and E,
x100)
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