0:00

So our very last case very, very quickly.

0:03

So this is a 30-year-old female. History, I'm going to withhold.

0:07

So if we look, I'm going to just jump to the finding.

0:11

We look at the axial T2.

0:15

We see a little noduler area that is T2 hypointense.

0:21

If we look at that same finding on the T1,

0:28

and I apologize, this was an abdomen and a pelvis.

0:35

And so our usual sequences are...

0:43

We didn't follow our typical protocol here.

0:46

So that finding is very avidly enhancing on the post cons.

0:58

And I know that there is a T1 pre here somewhere.

1:01

I just need to find it. Here we go.

1:03

So if we look at the T1 pre of the pelvis,

1:07

it's intrinsically T1 bright.

1:10

So, can we get the last question, please?

1:13

So which of the following is not typically

1:15

present in women with abdominal wall endometriosis?

1:17

Is it a history of endometriosis itself, a history of prior pelvic surgery,

1:21

of cyclical abdominal pain, or of a palpable mass?

1:24

All right, so we have a couple of answers

1:28

for history of palpable mass and then one answer for history of endometriosis.

1:32

And the correct answer is actually history of endometriosis.

1:35

So it is common for women to have

1:39

a history of pelvic surgery, cesarean section being the most common.

1:43

And then the endometriosis implant itself causes a palpable mass that becomes

1:49

cyclically larger and painful, which was the history this patient had.

1:53

It is not necessary for women to have a history of endometriosis to develop

1:59

abdominal wall endometriosis in the postoperative setting.

2:02

And so, don't think that it can't be endometriosis just because the patient

2:06

doesn't have endometriosis elsewhere in her pelvis.