Purpose or Case Report: Cystic ovarian lesions frequently occur in the female pediatric population, and they present with a varied clinical picture or can be incidentally found in imaging studies. The clinical approach and treatment considerations differ from their adult counterpart, considering the need for ovarian salvage and preservation of fertility. Also, the histologic distribution of ovarian tumors differs in pediatric and adult populations, which will alter the treatment algorithm.

We will present a pictorial review demonstrating comprehensive imaging features of adnexal cystic lesions in fetuses, infants, pre-pubertal, and peripubertal girls.

We will discuss the similar and dissimilar findings in the radiologic presentation of adnexal cystic lesions in the pediatric population versus adults for proper management.
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