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(a) Sagittal transvaginal ultrasound image: large heterogeneous adnexal mass. (b) Sagittal pelvic US with Doppler imaging: vascular adnexal mass with low resistant arterial flow (RI = 0.29). (c) Axial CT pelvis with IV contrast: yellow arrow: uterus, red arrowhead: enhancing adnexal mass, and curved blue arrow: cul-de-sac metastasis. (d) Sagittal CT pelvis with IV contrast: yellow arrow: uterus, red arrowhead: adnexal mass, and white asterisk: ascites.
