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30-year old woman with left endometrioid adenocarcinoma developed within a pre-existing ovarian endometrioma. Transverse unenhanced MDCT image depicts a multicystic left adnexal mass lesion, predominantly with hyperdense components (arrows). The CT density ranged from 45 HU to 85 HU, suggestive of acute hemorrhagic content. (Parameters: 16-row CT scanner; mAs: 130; kV: 120; detector collimation: 16 × 1.5 mm; slice thickness: 5 mm).
