Bilateral fallopian tube carcinoma: Diagnostic utility of MRI and ultrasound

Bilateral fallopian tube carcinoma is an extremely rare malignancy, often diagnosed incidentally or at advanced stages due to its nonspecific clinical presentation. Imaging plays a crucial role in its diagnosis and differentiation from other gynecological malignancies. This case report highlights the importance of multimodal imaging, especially diffusion-weighted Magnetic Resonance Imaging (MRI), in diagnosing bilateral fallopian tube carcinoma in an elderly woman presenting with vague symptoms. The case underscores the need for heightened radiological suspicion and the utility of MRI features such as mural thickening, restricted diffusion, and hydrosalpinx pattern in early detection. Early recognition and accurate imaging interpretation significantly contribute to optimal patient management and prognosis.