  Background, For the purpose of determining the appropriate course of therapy
to maintain fertility, a correct diagnosis of ovarian cysts is crucial.
Objective, To contrast the results of magnetic resonance imaging and
ultrasonography in individuals with ovarian cysts . Methods: research was
carried out in the radiology division of Al-Hilla General Teaching hospital and
Marjan Teaching Hospital in province Babil in the period of November 2023 and
march 2024, Seventy-five Following a physical and ultrasonography examination,
the female patient was assessed using magnetic resonance imaging. Women in the
over-18 age group exhibit a range of symptoms, such as irregular menstruation,
abdominal pain, sensoria, and menorrhagia. Results: Adnexal lesions on US
imaging included chocolate cysts (14.6%), dermoid cysts (13.8%), hemorrhagic
cysts (HC) (11.6%), simple cysts (32.4%), complicated cysts (21.2%), and
multilocular cysts (MC) (6.4%).Simple cysts (SC) made up 29%, complex cysts
(6.9%), dermoid cysts (10.9%), chocolate cysts (19.1%), hemorrhagic cysts (HC)
11.3%, multilocular cysts (6.8%), and malignant cysts (MC) 16% of the adnexal
lesions on MRI. The USG results show 100% sensitivity, 78.3% specificity, and
89.3% accuracy when compared to the MRI results.
  Conclusions: Magnetic resonance imaging, which is quite accurate in
determining the mass's origin and characterizing its tissue content, may be
beneficial in further evaluating monographically vague ovarian cysts with solid
or complicated content
