Fig. 9
From: MR imaging of ovarian masses: classification and differential diagnosis
Krukenberg tumour from gastric carcinoma in a 23-year-old woman. (a) Sagittal, (b) axial and (c) coronal T2-weighted images show a heterogeneous mass characterized by solid components with low signal intensity (white arrows) and cystic components with high signal intensity (white arrowheads). (d) Sagittal contrast-enhanced fat-suppressed T1-weighted image demonstrates enhancement of the solid components (white arrow). (e) Axial DW image (b = 800 s/mm2) demonstrates increased signal of the solid components of the lesion indicating hypercellularity. (f) Photomicrograph (H&E X200) shows ovarian parenchyma diffusely infiltrated by signet-ring cells