Fig. 20

TOA in a 57-year-old woman with right lower quadrant pain, fever, leukocytosis and acute diverticulitis. Sagittal (a) and axial (b) T2-weighted images show heterogeneous, multilocular collections at the right adnexa (arrowheads), containing air-fluid levels. Note diverticula of the sigmoid colon (thin arrows in b). Sagittal T2-weighted image (c) displays a fluid collection in the Douglas pouch (arrow). On axial DWI (b = 800 s/mm2) image (d), the fluid component of the adnexal masses demonstrates high signal intensity (arrowheads), consistent with restricted diffusion from purulent content