Fig. 10

Differential diagnosis: endometrial carcinoma with bilateral ovarian metastases in a 57-year-old woman with endometriosis. T2-weighted images in the sagittal (a), coronal (b), and axial (c) plane show a large intra-uterine mass (thick arrows) and bilateral ovarian masses (thin arrows). All lesions display restricted diffusion (d high b value) and enhancement on axial contrast-enhanced fat-suppressed T1-weighted images (e). Small-sized hemorrhagic foci within the ovarian masses are shown on fat-suppressed T1 weighted image (arrowhead in f), corresponding to superficial endometriosis lesions on the ovarian surface. Surgery confirmed a high-grade endometrial carcinoma with ovarian metastases and underlying endometriosis