3.5.1 Pelvic Imaging

Question 1

What are the components of the pelvic viscera that is common to both males and females?

Answer 1

Bladder, urethra, ureters, sigmoid colon, rectum, anus

Question 2

What this be?

Answer 2

Dermoid (mature cystic teratoma) - presence of fat

Question 3

Identify the organs. And the dz process?

Answer 3

Top: Uterus

Bottom: Bladder

Dz process: Rectocele

Question 4

What are some of the radiographic modalities to image pelvis?

Answer 4

X-ray, US, CT, MRI

Question 5

What is MRI good at viewing?

Answer 5

Bowel and surrounding soft tissue (not as good as CT)

Question 6

What is MRI excellent at viewing?

Answer 6

Uterus, cervix, vagina, and ovaries

Bones and surrounding tissues

Question 7

What is x-ray in the pelvis good for? (3)

Answer 7

Kidney, ureteral, and bladder stones

Bowel gas pattern

Look at bones

Question 8

What are the bones of the pelvis?

Answer 8

Ilium, ischium, pubis, sacrum

Question 9

What is the first line pelvic imaging test in pregnant patients?

Answer 9

First line test

Question 10

Identify

Answer 10

Question 11

What this be?

Answer 11

Serous cystadenoma

Question 12

What is circled? What is the line pointing at?

Answer 12

Circled- R ovary w/ aggressive tumor

Line - Normal L ovary

Question 13

Identify 2,3,9

Answer 13

2 - Anterior superior iliac spine

3 - Anterior inferior iliac spine

9 - Ischial tuberosity

Question 14

What this be?

Answer 14

Mass of rectum penetrating bladder wall

Question 15

What this be?

Answer 15

Mucocele of the appendix with calcification

Question 16

What two pelvic imaging modalities don’t expose patient to radiation?

Answer 16

MRI and US

Question 17

What is the male-specific pelvic anatomy?

Answer 17

Prostate, seminal vessicles, vas deferens, ejaculatory duct, epididymis, testis

Question 18

What this be?

Answer 18

Endometrial carcinoma

Question 20

What is CT excellent at viewing? (3)

Answer 20

Bowel and surrounding soft tissue (top of the line test)

Kidney, ureteral, and bladder stones

Bones

Question 21

What this be?

Answer 21

Abnormality of iliac spine due to tumor

Question 22

What this be?

Answer 22

Cystadenocarcinoma (tissue density changes circled in red help in identification)

Question 23

What is US pelvic imaging good for?

Answer 23

Excellent at looking at the uterus and ovaries

Good for looking for free fluid

Question 24

What do the letters represent?

Answer 24

SV: seminal vesicles

P: Prostate

U: Urethra

Question 25

What is CT not great at viewing?

Answer 25

Uterus, cervix, vagina, or ovaries

Question 26

What are the components of the female-specific pelvis?

Answer 26

Adnexae, Fallopian tubes, Ovaries, Uterus, Cervix, Vagina