Background: Imaging plays a major role in the detection, diagnosis, and ultimate treatment
strategies of adnexal masses. As high as 10% of women in the United States undergo surgical
evaluation for a suspected adnexal neoplasm.
Objective: To understand the advantages and disadvantages of each imaging modality used in the
evaluation of adnexal masses.
Results: Ultrasound is frequently the imaging modality of choice for initial characterization.
Computed tomography, magnetic resonance imaging, and positron emission tomography – computed
tomography are frequently employed if malignancy is suspected to assess for metastasis.
Conclusion: A basic understanding of adnexal imaging modalities will be of benefit to care providers
and, in turn, be of benefit to patients.