Student Image Challenge 71

Correct: Hemorrhagic ovarian cyst

Fig. 01, 02, 03 – transvaginal ultrasound – reaveals an anechoic image suggestive of ovarian cyst, with an intracystic echogenic mass with no Doppler signal and intrapelvic fluid.

Fig. 04, 05, 06 – transabdominal ultrasound – repeated evaluation showed the progression of the cyst, the persistence of the intracystic echogenic mass suggesting a clot and the discrete progression of the pelvic fluid.

Fig. 07 – CEUS – demonstrated the absence of vascularization of the internal echogenic mass (thus defined as a clot) and the absence of the ovarian torsion, which could occur in this case taking into consideration the voluminous cyst.