Monthly Diagnostic Challenge

Case of the Month – April 2026

Pelvic Mass in a 5-Year-Old Female

Analyze the clinical history and imaging findings, formulate your diagnosis, and compare your interpretation with expert insights.

Patient Age 5 Years
Modality MRI & Ultrasound
Category Interventional Radiology
Difficulty Normal
Case Presentation

Clinical History

A 5-year-old female presented with a complaint of urinary retention.

Ultrasound examination revealed a large, well-defined heterogeneous pelvic lesion measuring 11.7 × 9.8 × 6.6 cm, demonstrating internal vascularity. The lesion was noted to be displacing both ovaries and the urinary bladder superiorly.

Serum Alpha-Fetoprotein (AFP) and Beta Human Chorionic Gonadotropin (β-HCG) levels were within normal limits.

Diagnostic Imaging
Diagnostic Challenge

What is your Diagnosis?

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