Need firm dx: MRI can be helpful to firm up the diagnosis of endometrioma and be an adjunct to ultrasound. MRI may find other lesions. On the other hand laparoscopy has the advantage of getting tissue and performing therapeutics. A small amount of free fluid is non-specific and not unexpected for a cystic lesion of that size. Decisions as to how to proceed require clinical correlation and advice of GYN.
Answered 1/6/2016
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