Case 77
Clinical Presentation
A 58-year-old woman with a pelvic mass.
Imaging Findings
Contrast-enhanced computed tomography (CT) image shows a mass containing fat (F) and areas of soft-tissue (ST) attenuation within the pelvis. The mass is surrounded by a rim of soft tissue (arrows) that is continuous with the uterine myometrium (arrowhead) and has the same enhancement and attenuation.
Differential Diagnosis
• Uterine lipoleiomyoma: A fat-containing mass within the uterus is characteristic. Myometrium surrounding the mass is confirmatory when present.
• Uterine lipoma:
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