20 - Imaging of the Reproductive Tract Flashcards

1
Q

What are the imaging techniques of choice for acute investigation of the reproductive tract or staging reproductive malignancies?

A
  • Ultrasound
  • MRI
  • Fluoroscopy

Not often CT as testis and ovary are highly radiosensitive

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2
Q

What are the two different types of ultrasound available for women and label the following ultrasound?

A
  • Need full bladder so this is sitting over uterus. Can be seen axial and saggital. Can see ovarian cysts
  • Transabdominal
  • Transvaginal (better resolution)
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3
Q

What can be seen on this MRI of the female reproductive system?

A

Ovarian cysts

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4
Q

What is being shown on this hysterosalpingogram and what are these studies used for?

A

Can be used to test the patency of tubes, this shows one tube is not patent as no spillage, which could be from adhesions

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5
Q

Label the following male MRI of the urogenital system.

A

B: bladder

D: prostate

E: rectum

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6
Q

How else can we image the prostate apart from MRI?

A

Ultrasound

(black thing above is the bladder)

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7
Q

What should an ultrasound of a testicle look like?

A
  • Should be pure grey with no lumps and bumps
  • Can look for varicocoeles, infections, torsions using doppler
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8
Q

What type of cyst is being shown on this ovary?

A
  • Corpus Luteum cyst due to corpus luteum sealing off and filling with fluid or blood
  • Would be able to see ring of fire on doppler
  • Won’t be seen if on birth control but seen more often if on fertility drugs
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9
Q

What type of ovarian cysts is being shown here?

A
  • Follicular cyst that can be due to dominant graafian follicle not ovulating and when it becomes larger than 3cm it is a cyst
  • Unilocular, anechoic, thin smooth wall with posterior acoustic shadow
  • Will resolve spontaneously in a few weeks
  • Picture shows normal graafian follicles
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10
Q

What type of ovarian cyst is being shown on this ultrasound?

A
  • Simple on the left but haemorraghic on the right
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11
Q

What is the diagnosis after looking at this ultrasound of the ovary?

A
  • PCOS - more than 12 follicles
  • Could also just be ovarian hyperstimulation if bilateral
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12
Q

What is this xray showing?

A

Mature cystic teratoma

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13
Q

What is being shown on this MRI of the ovary?

A
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14
Q

How can we use imaging to look for malignant ovarian lesisons?

A
  • US and MRI with CA125
  • To stage do contrast enhanced CT
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15
Q

When doing an ultrasound or MRI on a woman and she has a mass on her ovary, who would we classfiy as high risk for this being a malignancy?

A
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16
Q

What is an endometrioma?

A

Type of cyst formed when endometrial tissue grows in the ovaries

17
Q

How can we image for endometriosis?

A
  • Laproscopic for superficial
  • Ultrasound or MRI for deep infiltrative
18
Q

What is being shown on this ultrasound of the testicle?

A

Varicocoele, if doppler you would see there was lots of blue and red and reverse flow