Fig. 14

Acute pyosalpinx in the same patient as Fig. 11. Sagittal (a) and oblique-axial T2-weighted (b) images show distended fallopian tubes (arrowheads) with thickened walls and internal fluid-fluid levels. Axial DWI (b = 800 s/mm2) image (c) demonstrates high signal intensity indicating restricted diffusion of the tubal content (arrowheads) and of two fluid collections in the Douglas pouch (arrows), reflecting purulent content. Sagittal (d) and oblique-axial gadolinium-enhanced fat-suppressed (e, f) T1-weighted images show intense mural enhancement of the involved Fallopian tube (arrowheads) and of the fluid collections (arrows)