Features of the hypointense solid lesions in the female pelvis on T2-weighted MRI

Most solid lesions in the female pelvis appearing hyperintense on T2-weighted images should be interpreted as malignant. In contrast, if the solid lesions in the female pelvis appear hypointense on T2-weighted images they may be benign. The characteristic imaging features of hyperintense solid lesions in the female pelvis on T2-weighted images are well known, but various unusual causes and imaging features of hypointense solid lesions in the female pelvis on T2-weighted images can be particularly misleading. Therefore, careful assessment of hypointense solid lesions in the female pelvis on T2-weighted images is warranted. In this article, we demonstrate a variety of hypointense solid lesions in the female pelvis on T2-weighted images. Familiarity with the clinical setting and imaging features of hypointense solid lesions in the female pelvis on T2-weighted images will facilitate prompt, accurate diagnosis and treatment.