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Figure 5a.  Endometrioma in a 39-year-old woman with infertility and pelvic pain. (a) Transverse transvaginal US image demonstrates the typical appearance of an endometrioma: a unilocular cyst (C) with low-level echoes, which in this case obscures the right ovary. UT = uterus. (b) Axial T1-weighted MR image of the pelvis shows a high-signal-intensity right adnexal mass (C), a finding that is consistent with an endometrioma. Note also the large simple cyst arising from the left ovary (*).