Adnexal Diseases

Abstract Adnexal masses may present as symptomatic lesions or be discovered incidentally during radiological examinations. The questions asked of radiologists are firstly, what is the nature mass and secondly, does it need to removed if so, how? Multidisciplinary discussion plan patient management aim avoid two scenarios simple resection an ovarian cancer major debulking surgery for benign disease. Ultrasound (US) excellent characterisation many common pathologies, but disease can with complex appearances that sonographically indeterminate. widespread use computed tomography (CT) first-line investigation in clinical settings has resulted diagnosis limited adnexal lesions. Magnetic Resonance Imaging (MRI) a crucial role play problem-solving tool. ability confirm organ origin give information on contents lesion allows confident diagnoses made, algorithmic approach this been described Ovarian-Adnexal Reporting Data System (O-RADS) MRI scoring system.