Fig 01 - transvaginal ultrasound
Student Image Challenge #71
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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.
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Case courtesy of Dana Nedelcu MD
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