Ovarian carcinoma is an insidious disease, and patients often present with an advanced (extra pelvic) stage of disease.The primary goal of imaging in the evaluation of an adnexal mass is to differentiate malignant and benign diagnoses in order to direct patients to the appropriate treatment algorithm.Better results are achieved by combining imaging modalities. As we have experienced improvement in MRI diagnostic and staging accuracies when supplemented with DCE MRI, MRS and DWI.