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30-year old woman with endometrioid adenocarcinoma in a pre-existing ovarian endometrioma. Transverse diffusion-weighted echo planar image shows hyperintensity of the soft-tissue component (asterisk) due to restricted diffusion, a finding highly suggestive of malignancy. Areas of subacute hemorrhage (arrow) are detected with intermediate signal intensity. (Parameters: 1.5 Tesla magnet; TR: 3800 msec; TE: 120 msec; slice thickness: 5 mm; gap: 0.5 mm, b-value: 800 seconds/mm2).
