A middle-aged married female patient came with right lower abdominal pain.
- A well-defined cystic area with incomplete septations is noted at the right adnexa.
- Color Doppler shows no abnormal vascularity.
Right sided hydrosalpinx.
A 39-year-old female patient came with lower abdominal pain.
- A well-defined, thin-walled, unilocular cystic lesion of about 9.1cm X 7.1cm size, casting posterior acoustic enhancement with smooth inner margin, no papillary projection or septation is noted arising from the left adnexa without a separately visualized left ovary.
- Numerous thin ‘echogenic lines & dots’ are seen within the fluid content forming the ‘dot dash pattern’ indicating the dermoid mesh.
- An echogenic component casting acoustic shadow is also noted within.
- Color Doppler shows no flow within the internal contents.
- No ascites or lymphadenopathy.
- O-RADS US 2, Color Score 1.
- Left adnexal dermoid cyst.
- O-RADS US 2, Color Score 1.
A 17-year-old unmarried female patient came with left lower abdominal pain.
- A well-defined thin-walled cystic area of less than 5 cm in maximum diameter, having an internal lace-like reticular pattern with posterior acoustic enhancement is noted in the left adnexa with the marginal presence of ovarian tissue.
(O-RADS US 2: Almost certainly benign)
- Color Doppler shows the absence of flow within the internal reticular pattern. Normal flow is seen in the surrounding ovarian tissue.
(Color score: 1)
Ovarian hemorrhagic cyst.
A 24 years old female patient came with dysmenorrhea, predominantly pain in the left lower abdomen.
In case of transabdominal scan, decrease the gain to make the bladder anechoic. The adjacent simple cyst will become anechoic too but the endometrioma won’t.
A 23 years old married female patient came with
- Irregular scanty menstruation
- Subfertility
- Obesity
- Hirsutism
- Bilateral enlarged ovaries.
- Multiple peripherally placed tiny follicles.
- No dominant follicle.
- Echogenic ovarian stroma.
- Multiple small well-defined round to oval anechoic cystic structures of variable size are seen within the cervical myometrium.
Patient with mild lower abdominal pain shows a right adnexal multiloculated cyst separated from the right ovary
