A 54-year-old female patient with right ovarian borderline cystadenofibroma. (a) Sagittal T2 weighted fast spin echo shows complex ovarian mass with small solid component (blue arrows). Note the marked cervistis in the form of multiple nabothian cysts. (b) Three-dimensional sagittal oblique multiplanar reformatting reconstructed post-contrast image shows the right ovarian mass and the uterus along its whole length, the solid component of the mass displayed uptake in a comparable timing to the uterine myometrium. (c) Semi-quantitative parameters display delayed Tmax at 238 s, maximum relative enhancement percentage of 87% and Type I progressively rising curve pattern. The suspicious complex features of the ovarian mass and the age of the patient favour invasive malignant pathology, yet the kinetics were towards benign neoangiogenesis that coincided with the pathology being a borderline mass. C, cervix; U, uterus; UB, urinary bladder. For colour image see online.