Fig. 24

Pelvic inflammatory disease with tubo-ovarian abscess. A 23-year-old female with high fever, vaginal discharge and pain in her left lower quadrant and deep pelvis. Her medical history included chronic renal failure treated with transplantation. a Transabdominal sonography reveals large, complex-looking, mostly cystic left lower quadrant mass (arrows). b Axial T2W MR image shows a complex-looking mass with internal cystic components (arrows). c Axial postcontrast T1W image demonstrates intense contrast enhancement within the walls of the mass (arrows). Percutaneous aspiration produced pus, and biopsy showed intense inflammatory changes. Cultures grew Escherichia coli, and patient was placed on IV antibiotic treatment after aspiration