Fig. 3. Preoperative imaging and gross surgical findings of recurrent peritoneal dissemination of ovarian angiosarcoma. (A) Pelvic MRI reveals diffuse peritoneal dissemination involving the left pouch of Douglas (arrowheads), uterine serosa, and right adnexa (arrow). (B) Macroscopic view of the resected uterus, right adnexa, and peritoneal lesions at the left pouch of Douglas (arrowheads) showing multiple hemorrhagic nodules consistent with disseminated angiosarcoma.