Tubo-ovarian disease | Morphology | T2 | T1 | Gd–T1 | DWI | ADC | Differential diagnoses |
---|---|---|---|---|---|---|---|
Hydrosalpinx | Fluid filled thin-walled tubular structure | ![]() High | ![]() Low | ![]() No enhancement | ![]() Low | ![]() No restriction | - Multilocular cystic adnexal masses |
Haematosalpinx | Dilated fallopian tube filled with blood products | ![]() Intermediate with dark thick rim, possible “shading sign” in endometriosis | ![]() High | ![]() Slight enhancement of the tubaric wall | ![]() High | ![]() Restriction | - Endometriosis - Ectopic Pregnancy - Adnexal torsion - Trauma - Malignancy |
Acute salpingitis | Swollen fallopian tube with intramural inflammation | ![]() Wall thickening of the distended tube | ![]() Low | ![]() Wall enhancement | ![]() High signal of the wall | ![]() Restriction of the wall | |
Pyosalpinx | Bilateral, serpiginous or tubular structure with purulent content and possible fluid-debris levels | ![]() Iso-hyperintense | ![]() Variable | ![]() Enhancement of the thickened wall | ![]() High | ![]() Restriction | |
Tubo-ovarian abscess | Loss of the normal adnexal structure, formation of a solid-cystic pus-filled inflammatory mass | ![]() Heterogeneous high signal | ![]() Heterogeneous low signal | ![]() Septal and thick rim mucosal enhancement | ![]() High signal of the wall, septa and purulent content | ![]() Restriction of the wall, septa and purulent content | - Ovarian carcinoma - Primary fallopian tube carcinoma |