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. 2023 Apr 25;128(5):565–577. doi: 10.1007/s11547-023-01628-3

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© The Author(s) 2023

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 4 — A 47-year-old woman. Axial and coronal T2-weighted images show a right adnexal mass with solid content and some fluid components a,b. The perfusion sequence generates an intermediate risk curve (TIC type 2) compared to the myometrium c,d and an O-RADS MRI score 4 was attributed DWI images and ADC map acquired in the axial plane shows high signal restriction at b 1000 with ADC value of 0.813 × 10⁻³ mm²/sec e,f. Histology revealed a malignant adnexal lesion (high-grade serous carcinoma).