
Ovarian carcinoma is the most common cause of death due to gynecologic malig¬nancy. Peritoneal involvement is present in approximately 70% of patients at the time of initial diagnosis. Common sites of intraperitoneal seeding of ovarian carcinoma include the pelvis, omentum, paracolic gutters, liver capsule, and diaphragm. Soft-tissue thickening, nodularity, and enhancement are all signs of peritoneal involvement. Computed tomography can be used to detect these metastatic lesions, which can be miliary or large and appear as soft-tissue or low-attenuation masses.