Case 19 AnswerLarge fair uniformly hyperdense mass posterior to the bladder with no Doppler flow. MRI aboveAnswer: Imperforate hymen with...

Case 19 Answer

Large fair uniformly hyperdense mass posterior to the bladder with no Doppler flow.  MRI above

Answer: Imperforate hymen with distended posterior vagina and uterine cavity (aka hematometrocolpos) 

You don’t see these every day but it is something to keep in the back of your mind in a young female.It should be fairly apparent with a good history and physical, so you also don’t want to look silly calling it cancer.

Reference: https://radiopaedia.org/articles/haematometrocolpos?lang=us