Complex predominantly solid masses

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One suggested algorithm for evaluation of a woman with a suspected ectopic pregnancy. aExpectant management, D&C, or medical regimens are suitable options.
Endometrial cancer. A, B: Long-axis images of a polypoid mass surrounded by a thin sliver of intraluminal fluid. This tumor occupied the entire uterine.
Myoma. Longitudinal sonogram of the pelvis demonstrating an enlarged myomatous uterus. A large anterior uterine myoma (M) can be seen displacing the endometrial.
A: Chemical shift artifact (arrows) on T1-weighted gradient echo scan in right ovarian dermoid cyst. This finding is the white on black line that occurs.
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TV-CDS of early intrauterine pregnancy
This is a dual view of a fetal spine
Normal 5-week intrauterine pregnancy (IUP)
3D and 4D ultrasound volume ultrasound can obtain image planes and provide depth far beyond the capability of 2D ultrasound. Source: VOLUME SONOGRAPHY:
Workflow diagram depicting the main steps in scanning with 2D and 3D/4D ultrasound. The scan is always started in 2D and the area of interest is mapped.
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Complex, predominantly cystic masses
Complex, predominantly cystic masses
Desmoplastic small round cell tumor
Color Doppler image from a sonohysterography study shows a broad-based, hypoechoic, and well-defined solid mass (arrow) projecting into the endometrial.
Small embryo and yolk sac within an intrauterine gestational sac (A)
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Transabdominal gray-scale ultrasound image of the pelvis in this 32-year-old patient who presented with abdominal pain, positive urine β-hCG, and history.
Malignant serous surface epithelial tumor
Miscellaneous conditions
This figure presents a dual view of a conventional 2D image and VCI-A volume contrast imaging in plane A) still TIFF image generated from a 4D video sequence.
Radiograph of a giant cell tumor of the thumb
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Solid masses. A: Transverse sonogram showing enlarged right ovary (between +'s) with echogenic areas consistent with hemorrhage due to ovarian rupture.
Solid masses. A: Transverse sonogram showing enlarged right ovary (between +'s) with echogenic areas consistent with hemorrhage due to ovarian rupture.
Copyright © 2015 by the American Osteopathic Association.
Multiple transabdominal and transvaginal ultrasound images of a different patient with an ectopic pregnancy demonstrating (A) echogenic debris in the endometrial.
TV-CDS of early intrauterine pregnancy
Color/power Doppler (HD-flow™, GE Healthcare, Milwaukee, WI, USA) in other renal abnormalities. A, A': In a case of horseshoe kidney, color Doppler sonography.
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Amplitude versus frequency transvaginal color Doppler sonography (TV-CDS). A: Frequency-based TV-CDS shows solid mass within the left ovary without significant.
Tubal obstruction (extrinsic)
Copyright © 2015 by the American Osteopathic Association.
Cervical pregnancy. A. Transvaginal sonography, sagittal view of a cervical pregnancy. Sonographic findings with cervical pregnancy may include: (1) an.
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Normal 6- to 7-week IUP. A: Magnified TV sonogram of 3-mm embryo/yolk sac (arrow). Compare to Figure 3-1H. B: TV sonogram of 6-week IUP with 6-mm embryo.
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Fibroids. A: Transabdominal sonogram (TAS) of large uterine fibroid (arrow) extending from uterine fundus. B: Transverse TAS of degenerated fibroid (arrow)
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Septate ovarian cyst. A: Traditional 2D image of a septate ovarian cyst. B: Surface rendering of the inside of the cyst showing a smooth wall and a single,
Renal dysplasia secondary to posterior urethral valves
Solid masses. A: Transverse sonogram showing enlarged right ovary (between +'s) with echogenic areas consistent with hemorrhage due to ovarian rupture.
Transverse transabdominal sonography of two patients with complicated bladder diverticulum. (A) Sedimentation of infected urine (arrowheads) and thickening.
Multiple transabdominal and transvaginal ultrasound images of a different patient with an ectopic pregnancy demonstrating (A) echogenic debris in the endometrial.
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Presentation transcript:

Complex predominantly solid masses Complex predominantly solid masses. A: Predominantly solid, complex mass containing a layer of echogenic material (arrow) arising from sebum within this dermoid cyst. B: Transvaginal sonogram of granulosa cell tumor. C: Transvaginal sonogram of dermoid cyst with layer of echogenic sebum (*). D: Transvaginal sonogram of hemorrhagic ovarian cyst containing irregular solid area corresponding to displaced hemorrhagic ovarian tissue surrounding area of hemorrhage. E: Longitudinal transabdominal sonogram (TAS) of ovarian cystadenocarcinoma containing irregular solid areas. F: Magnified transverse TAS of cul-de-sac hemorrhage (arrow) resulting from ruptured ectopic pregnancy. G: Transvaginal sonogram of dermoid cyst showing typical echogenic hairball (arrows). H: TV-CDS showing vessels within the solid part of a dermoid cyst. Source: SONOGRAPHIC EVALUATION OF PELVIC MASSES WITH TRANSABDOMINAL AND/OR TRANSVAGINAL SONOGRAPHY, Sonography in Obstetrics and Gynecology: Principles & Practice, 7e Citation: Fleischer AC, Toy EC, Lee W, Manning FA, Romero RJ. Sonography in Obstetrics and Gynecology: Principles & Practice, 7e; 2014 Available at: http://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/1414/fle_ch31_f004f.png&sec=76395786&BookID=1414&ChapterSecID=76395760&imagename= Accessed: October 23, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved