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The Art of Radiology
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3-dimensional coronal image of a unicornuate uterus.
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2-dimensional image of a didelphic uterus with a gestational sac (arrow) in the left horn
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2-dimensional transabdominal coronal view of a bicornuate uterus
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3-dimensional coronal view of an arcuate shaped uterus
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Hysterosalpingogram of an arcuate uterus
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MRI of a bicornuate uterus. The arrows indicate two uterine horns.
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3-dimensional coronal view of a septated uterus
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NORMAL OVARY
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MENOPAUSAL OVARY
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The normal typical appearance of the infantile uterus
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NORMAL OVARY
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:Transverse US scan shows normal ovaries (arrows) with visible follicles
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:appearence Uniform solid Baseline
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Serial monitoring Day 9: Small Follicles Just Apparent.
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ECTOPIC.RING SIGN
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.Tubal pregnancy circled in red, 4.5 mm fetal pole (between cursors) in green, pregnancy yolk sac blue
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CASE
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This is the peripheral component of the complex mass that was seen in the right adnexa. It appears to be an enlarged and heterogeneous right ovary with peripherally
displaced follicles - this is classical for torsion.
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This is a normal appearance of the right ovary .
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Color Doppler demonstrates normal flow within the right ovary
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The left ovary is enlarged, has an abnormal gray scale appearance and appears heterogeneous .
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There is scant internal and peripheral flow .
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Gray-scale sagittal image reveals right ovary to be enlarged (7 cm) with peripheral follicles and areas of increased echogenicity
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Color Doppler demonstrates no flow within the ovary .
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Power Doppler confirms almost no flow in the ovary .
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OVARIAN TORSION
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OVARIAN TOSION
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OVARIAN TOSION
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OVARIAN TOSION
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OVARIAN TOSION
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OVARIAN TOSION
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TORSION
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There is a complex mass seen in the right adnexa. The right ovary is not seen separate from the
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Spectral analysis demonstrates a normal arterial waveform. The venous waveform however, could not be obtained, implying that the venous supply is probably compromised .
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The complex heterogeneous mass is again noted in the right adnexa. It is predominantly hypoechoic with a few cystic areas within the mass.
The contralateral left ovary appears normal and shows prominent follicles within .
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This is the peripheral component of the complex mass that was seen in the right adnexa. It appears to be an enlarged and heterogeneous right ovary with peripherally displaced follicles - this is classical for torsion.
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Case Isolated left tubal torsion
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The uterus with the normal endometrial stripe is notedIsolated left tubal torsion
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There is a hypoechoic structure seen in the left adnexa that appears cystic, contains low-level internal echoes,some debri and thin septae. The mass shows good posterior
enhancement. Isolated left tubal torsion
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The cystic structure is noted again and shows very thin, barely perceptible walls. The patient had probe tenderness while scanning
this structure Isolated left tubal torsion
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The cystic structure is noted again displaying the homogeneous low-level internal echoes Isolated left tubal torsion
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Case Left ovarian torsion
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This is a normal appearance of the right ovary .
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Color Doppler demonstrates normal flow within the right ovary Left ovarian torsion
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The left ovary is enlarged, has an abnormal gray scale appearance and appears heterogeneous. Left ovarian torsion
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There is scant internal and peripheral flow. Left ovarian torsion
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Case ovarain torsion Gray-scale sagittal image reveals right ovary to be enlarged (7 cm) with peripheral follicles and areas of increased
echogenicity
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Color Doppler demonstrates no flow within the ovary .
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Power Doppler confirms almost no flow in the ovary .
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a) Transverse ultrasonography shows a solid right adnexal mass; b) Longitudinal ultrasonography shows a tubular right ovarian vein extending superiorly from the adnexal mass towards the inferior vena cava (IVC). c) Transverse ultra-sonography shows thrombus in the right ovarian
vein adjacent to the IVC. Blood flow was visible in the IVC on colour Dopplerbut not in the ovarian vein
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a) CT through the lower abdomen shows low attenuation thrombus distending the right ovarian vein. b) CT at the level of the kidneys shows thrombus extending into the IVC. c) CT shows a solid adnexal mass adjacent to
the enlarged uterus . Post-partum ovarian vein thrombosis POVT
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a) CT through the lower abdomen shows low attenuation thrombus distending the right ovarian vein. b) CT at the level of the kidneys shows thrombus extending into the IVC. c) CT shows a solid
adnexal mass adjacent to the enlarged uterus .
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Multiple tiny follicles are seen scattered throughout the right ovary /PCO .
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Multiple, small follicles are seen scattered in the right ovary/PCO .
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Multiple follicles are seen scattered in the left ovary. A densely echogenic area showing significant posterior acoustic shadowing is noted in the ovarian stroma/PCO
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This image shows an echogenic ovarian mass. The posterior margins of the mass are obscured. These features along with the calcification seen in the previous image are suggestive of an ovarian dermoid .
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PCO
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TOA
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PYOSALPNIX
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TOA
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TOA
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TOA after 1o days
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PYOSALPNIX
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left TOA The uterus appears normal. A large cystic mass is seen in the left adnexa which demonstrates homogeneous, low-level internal echoes. The left
ovary is not visualized separate from this mass .
![Page 104: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/104.jpg)
The cystic mass has a smooth wall except for one loculated area that exhibits thick irregular walls. The medial wall of the locule demonstrated blood flow
on Doppler [not shown here] .
![Page 105: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/105.jpg)
The complex adnexal cyst is noted again, demonstrating low level internal echoes. A thin septum is seen extending from the wall. The mass
appears to be contained within the left ovary (compressed ovarian tissue is seen around the entire periphery) .
![Page 106: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/106.jpg)
The right ovary is seen in this image and exhibits a small cyst with septations .
![Page 107: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/107.jpg)
The right ovary in a different plane shows multiple cystic areas, some of which are septated. The
rest of the ovarian tissue appears somewhat inhomogenous.
![Page 108: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/108.jpg)
Pubic osteomyelitis with an abscessheterogeneous soft tissue mass is noted anterior-inferior to the urinary bladder in the region of
the symphysis pubis, indenting the bladder contour. The bladder wall appears thickened adjacent to the lesion. The uterus appear normal .
![Page 109: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/109.jpg)
Pubic osteomyelitis with an abscessThe heterogeneous soft tissue mass is noted again in this parasagittal image. Irregular echogenic areas are noted caudal to the mass. These echogenic areas cause complete shadowing beneath
them
![Page 110: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/110.jpg)
Pubic osteomyelitis with an abscessThis image shows the extent of the mass more clearly. The mass appears to involve the superficial soft tissues.
The irregular echogenic areas are also seen more prominently here
![Page 111: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/111.jpg)
Pubic osteomyelitis with an abscessThe mass in this transverse view shows a hypoechoic center. This is suggestive of
necrosis .
![Page 112: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/112.jpg)
Pubic osteomyelitis with an abscess Color Doppler shows some flow within the mass .
![Page 113: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/113.jpg)
Pubic osteomyelitis with an abscess Color Doppler of the mass in a different plane
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Left ovarian abscess and related IUCD in situ
The endometrial cavity shows a linear, high amplitude echo. This possibly represents a retained piece of the IUCD.
![Page 115: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/115.jpg)
Left ovarian abscess and related IUCD in situ The linear echo within the endometrial cavity is noted again in this image
![Page 116: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/116.jpg)
Left ovarian abscess and related IUCD in situ complex left adnexal cystic mass is noted. The mass is septated and the left ovary could not be identified separately from it .
![Page 117: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/117.jpg)
Left ovarian abscess and related IUCD in situ The left sided cystic adnexal mass exhibits thick septations. The fluid within the mass shows inhomogeneous echoes within .
![Page 118: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/118.jpg)
Left ovarian abscess and related IUCD in situ The septated cystic left adnexal mass is seen again. The thick septations appear quite
irregular, raising a suspicion for neoplasm
![Page 119: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/119.jpg)
Left ovarian abscess and related IUCD in situ The transvaginal scan better demonstrates the internal characteristics of the complex mass in the left adnexa. The thick septae and the inhomogeneous echoes in the
different fluid compartments of the mass are better appreciated in this view
![Page 120: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/120.jpg)
TVS of a cystic mass with a thick and irregular wall . This was an ovarian carcinoma
![Page 121: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/121.jpg)
TOA
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TOA after 1o days
![Page 123: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/123.jpg)
![Page 124: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/124.jpg)
HYDROSALPNIX
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hydrolpnix
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Adnexal mass reveals fluid debris level consistent with hydrosalpnix
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SIMPLE UNILOCULAR CYST
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Ultrasound: Benign ovarian cyst
![Page 129: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/129.jpg)
FOLLICULAR CYST
![Page 130: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/130.jpg)
A thin-walled cyst (C) with anechoic internal fluid and size larger than 2.5 cm meets the definition of a functioning ovarian cyst
![Page 131: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/131.jpg)
FOLLICULAR CYST
![Page 132: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/132.jpg)
FOLLICULAR CYST
![Page 133: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/133.jpg)
FOLLICULAR CYST
![Page 134: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/134.jpg)
CLC
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MATURE CORPUS LUTEUM
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SOLID CORPUS LUTEUM
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CORPUS LUTEUM+SOLID LESION
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SIMPLE CYST+SOLID CORPUS LUTEUM
![Page 139: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/139.jpg)
THECA LUTEUN CYST
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THECA LUTEUN CYST
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Theca-lutein cysts replacing an ovary in a patient with a molar pregnancy. Despite their size these cysts are benign and usually resolve after treatment of the
underlying disease
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PARAAOVARIAN CYSTS
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PARAAOVARIAN CYSTS
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PARAOVARIAN CYST
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PARAOVARIAN CYST
![Page 146: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/146.jpg)
SIMPLE UNILOCULAR CYST
![Page 147: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/147.jpg)
HAEMORRHAGIC CYST
![Page 148: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/148.jpg)
A thin-walled cyst (C) with anechoic internal fluid and size larger than 2.5 cm meets the definition of a functioning ovarian cyst
![Page 149: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/149.jpg)
SIMPLE UNILOCULAR CYST
![Page 150: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/150.jpg)
POSTMENOPAUSAL CYST
![Page 151: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/151.jpg)
POSTMENOPAUSAL CYST
![Page 152: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/152.jpg)
![Page 153: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/153.jpg)
ENDOMETRIOMA
![Page 154: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/154.jpg)
ENDOMETRIOMA
![Page 155: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/155.jpg)
endometrioma
![Page 156: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/156.jpg)
ENDOMETRIOMA
![Page 157: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/157.jpg)
ENDOMETRIOSIS
![Page 158: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/158.jpg)
ENDOMETRIOSIS
![Page 159: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/159.jpg)
ENDOMETRIOSIS
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ENDOMETRIOSIS
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HGIC CYST(A)
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HGIC CYST(B)
![Page 163: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/163.jpg)
(A ) Hemorrhagic corpus luteumwithin the left ovary containing fibrin - , strands appearing as a web like complex of thin branching linear . ) ( , 6 , interface B Same patient as in A week later showing complete
regression.
![Page 164: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/164.jpg)
Hgic cyst
![Page 165: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/165.jpg)
HAEMORRHAGIC CYST
![Page 166: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/166.jpg)
STIMULATED OVARY
![Page 167: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/167.jpg)
STIMULATION WITH HORMONAL THERAPY
![Page 168: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/168.jpg)
![Page 169: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/169.jpg)
Dermiod cyst
![Page 170: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/170.jpg)
Dermiod cyst
![Page 171: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/171.jpg)
CT dermiod cyst
![Page 172: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/172.jpg)
CYSTIC TERATOMA
![Page 173: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/173.jpg)
Immature teratoma
![Page 174: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/174.jpg)
DERMIOD-TERATOMA
![Page 175: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/175.jpg)
DERMIOD-TERATOMA
![Page 176: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/176.jpg)
DERMIOD-TERATOMA
![Page 177: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/177.jpg)
DERMIOD-TERATOMA
![Page 178: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/178.jpg)
DERMIOD-TERATOMA
![Page 179: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/179.jpg)
DERMIOD-TERATOMA
![Page 180: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/180.jpg)
DERMIOD-TERATOMA
![Page 181: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/181.jpg)
BENIGN TERATOMA
![Page 182: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/182.jpg)
CYSTIC TERATOMA
![Page 183: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/183.jpg)
Mature cystic teratoma
![Page 184: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/184.jpg)
DERMIOD-TERATOMA
![Page 185: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/185.jpg)
THICK WALLED CYST
![Page 186: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/186.jpg)
![Page 187: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/187.jpg)
Ovarian fibroma
![Page 188: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/188.jpg)
Fibriod cyst
![Page 189: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/189.jpg)
Predominantly cystic right adnexal mass containing papillary excrescences. papillary serous tumour and fibroma
![Page 190: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/190.jpg)
Doppler demonstrates low-impedance blood flow within the excrescences. papillary serous tumour and fibroma
![Page 191: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/191.jpg)
3D pelvic sonography clearly demonstrated the internal papillations within the right adnexal mass. papillary serous tumour and fibroma
![Page 192: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/192.jpg)
Endovaginal sonography of the left adnexal mass shows a solid lesion with moderate internal flow on color Doppler. The mass is adjacent to the uterus papillary serous tumour and fibroma
![Page 193: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/193.jpg)
![Page 194: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/194.jpg)
STIMULATED OVARY
![Page 195: 51 Dr Ahmed Esawy imaging oral board of female pelvis part I ultrasound](https://reader031.vdocuments.us/reader031/viewer/2022012914/58d12b071a28abe3298b4fdd/html5/thumbnails/195.jpg)
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STIMULATION WITH HORMONAL THERAPY
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STIMULATED OVARY
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STIMULATION WITH HORMONAL THERAPY
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Sepated cystic masses ( A ) Transverse TAS showing cystic mass containing multiple thin internal septations , representing mucinous cystadenoma
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Transverse TAS showing septated mass with echogenic material ( * ) in upper loculated area . The echogenic material was mucin within this
mucinous cystadenoma
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The septated cystic left adnexal mass is seen again. The thick septations appear quite irregular, raising a suspicion for neoplasm
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Sepated cystic masses ( A ) Transverse TAS szzzxhowing cystic mass containing multiple thin internal septations , representing mucinous cystadenoma . ( B ) Transverse TAS showing septated mass with echogenic material ( * ) in upper loculated area . The echogenic material
was mucin within this mucinous cystadenoma
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Malignancy was suspected due to thickened septation ( arrow) within this mucinous cystadenocarcinoma
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Serous cystadenocarcinoma
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Benign cystadenoma
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(G ) ) ( and axial H TVS shwing amultiloculated septated cystic mass with focal . wall thickening this represented a mucinous cystadenoma with one locule
containing thick mucinous material
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A complex heterogeneous mass with cystic spaces within is noted filling the posterior cul de sac and displacing the uterus and broad ligaments anteriorly
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TVA A complex right sided cystic mass is noted with the mass showing very thin septations .
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Transvaginal scan demonstrating better the characteristics of the cystic mass in the pelvis .
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Again seen is a cystic septated mass in the pelvis with no obvious mural
nodularity or solid components within
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The cystic mass demonstrated in another view. The bands of weak echoes seen
crossing the larger cystic compartments are artifacts
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Transverse TAS of complex predominantly cystic right – adnexal mass with calcific
focus ( arrow ) arising from tooth within this dermoid cyst
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TVS of a pelvic mass in a woman with a renal transplant. This w as found to represent a luteal cyst with fluid surrounding adhesion Sagittal
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(A ) ) ( and axial B TVS shwing a multiloculated septated cystic mass . with focal wall thickening this represented a mucinous cystadenoma
with one locule containing thick mucinous material
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Complex predominantly cystic masses . ( A ) TVS of endometrioma ( curved arrow ) that contained echogenic clot located adjacent to mature follicle ( straight arrow}
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TVS of tubovarian abscess. Abscess cavity was surrounded by ovarian tissue) * (
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TVS of a hemorrhagic corpus luteum cyst with trosed left ovary
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Transverse TAS showing cystic right – adnexal mass with septations or stands ( arrow ) .
representing an appendiceal abscess in a partum patient.
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Cystic mass with small focus of solid tissue morphologically similar to a papillary excrescence ( arrowhead ) This mass was bening
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TVS of a right ovary that contains two cystic masses ; one has a papillary excescence . This was a border – line ovarian cancer adjacent to a mature follicle
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Complex predominantly cystic masses . ( A ) TVS of endometrioma ( curved arrow ) that contained echogenic clot located adjacent to mature follicle ( straight arrow
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Predominantly cystic right adnexal mass containing papillary excrescences. papillary serous tumour and fibroma
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Doppler demonstrates low-impedance blood flow within the excrescences. papillary serous tumour and fibroma
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Cystic mass with small focus of solid tissue morphologically similar to a papillary excrescence ( arrowhead ) This mass was bening . ( L ) TVS of a right ovary that contains two cystic masses ; one has a papillary excescence . This was a border – line ovarian cancer adjacent to a mature
follicle
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Complex predominently solid / dermiod cyst
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TVS of granulosa cell tumour
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Tvs of dermiod cyst with layer ofd dermiod sebum
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TVS of haemorrhagic cyst
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TAS of ovarian cystadenoma carcinoma
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Magnified TAS of cul-de sac haemorrhage(arrow) resulting from ruptured ectopic pregnancy
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TVS of a dermiod cyst contianin typical hair ball(arrow)
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A-SOLID MASSES A-TAS enlarged right ovary(between cursor}with ecgogenic area consistent with haemorrahge due to ruptureds ovary
(B) same patient in A show intraperitoneal fluid due to ruptured ovary
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Longitudanl TAS demonstrating solid area in culdesac(arrow)arising from torsed right ovary. Same patient in (A) with transverse TAS show normal left ovary(straight arrow)adgacent to
torsed right ovary(curved arrow)
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Interligamentous fibriod appearing as solid pelvic mass
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Myxomatous uterine tumor (Ilarge armw) arising from uterine fundus {curved arrow). (B) Same tumor . Ultrasound shows estent of tumor (*), which occupies entire abdomen.
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TAS of a solid pelvic mass with calcifications (arrow) in elderly patient
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Ovarian fibroma
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Longitudinal TAS of pelvic kidney (arrow). Pelvocalvceal system accounts for central echogenicity
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Magnified transverse TAS showing solid leti—adnexal mass jhcii ci’n cursor.). which represents a hemorrhagic corpus luteum cyst .
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Longitudinal TAS ot solid teratoma with calcified areas
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Magnified TAS of solid mass (between) representing hemorrhagic corpus luteum cyst
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Sagittal and transverse TAS showing a 5 X 7 cm solid mass associated with ascites. This was ovarian cancer .
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TVS of loculated fluid with peritoneal adhesions that mimic the appearance of
a cystadenoma.
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TVS (A) and TAS (B) of a patient presenting with right lower quadrant pain. The T\’S shows a normal uterus. Compression TAS demonstrated a thickwalled appendix. This patient had
appendicitis at surgery
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TVS of a patient following bowel surgery showing a peritoneal “pseudocvst’ or loculated fluid in the right lower quadrant `````
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TAS through area of cuIde-sac showing intraperitoneal fluid
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hemorrhagic corpus luteum (between cursors)
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Long (A) and short (B) axes of fusiform mass in the right tower quadrant are consistent with a thickened appendix. Appendicitis was confirmed at surgery .
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TVS of a walled-off appendiceal abscess adjacent to adhesed small bowel hops
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TVS of solid mass containing ringlike interfaces. This was found to be a mucocoele
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Frequency transvaginal color Doppler stinogram ( TV-CDS) showing low- impedance (pulsatility index of 0.6), low-veloctty (maximum systemic velocity l() cm s) flow in the wall of the corpus
luteum .
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Amplitude TV-CDS shows ,more intraparenchyrnal vascularity than that with frequency-based TV-CDS
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A complex heterogeneous mass with cystic spaces within is noted filling the posterior cul de sac and displacing the uterus and broad ligaments anteriorly
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TVA A complex right sided cystic mass is noted with the mass showing very thin septations .
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Transvaginal scan demonstrating better the characteristics of the cystic mass in the pelvis .
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Again seen is a cystic septated mass in the pelvis with no obvious mural
nodularity or solid components within
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The cystic mass demonstrated in another view. The bands of weak echoes seen crossing the
larger cystic compartments are artifacts
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/Mature Cystic Ovarian Teratoma D ermoid Cyst