What’s your diagnosis in this middle-aged woman with abdominal pain?

These images show bilateral cystic lesions of the ovary. The smaller cyst is echogenic with posterior shadowing, suggesting a dermoid cyst containing fat. The larger cyst shows echogenic fluid with linear echogenic foci, which is suggestive of hair, fat, and thick viscous fluid, indicating a second dermoid cyst.

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Challenge your diagnostic skills: What’s the source of pain in this middle-aged woman?

Image IQ: Pain in Middle-Aged Woman