Abdominal RadiologyOvarian Torsion Multimodality Review of Imaging CharacteristicsSmolinski, Sara E. MD; Kreychman, Alena MD; Catanzano, Tara MD Author Information From the Department of Radiology at Baystate Medical Center, Springfield, MA. Received for publication July 22, 2015; accepted August 19, 2015. Correspondence to: Sara E. Smolinski, MD, Department of Radiology, 759 Chestnut St, Springfield, MA 01199 (e-mail: [email protected]). An expanded discussion of this “Case of the Quarter” can be found at the SBCT-MR Web site: scbtmr.dnnstaging.com. The authors declare no conflict of interest. Journal of Computer Assisted Tomography: November/December 2015 - Volume 39 - Issue 6 - p 922-924 doi: 10.1097/RCT.0000000000000332 Buy Metrics Abstract We present a case of ovarian torsion in pregnancy with demonstration of vascular flow on sequential Doppler ultrasonography. Magnetic resonance imaging demonstrated ovarian enlargement and edema. Mild symptoms and low clinical suspicion, in addition to risks associated with pregnancy prevented early laparoscopic examination, though torsion was considered. Progressive ovarian enlargement supported surgical intervention, which confirmed the presence of torsion. This case report reviews multimodality imaging characteristics of ovarian torsion, re-emphasizing the significance of ovarian morphology. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.