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Sonographic Topics > Chapter 17: The Uterus and The Vagina > Flashcards

Chapter 17: The Uterus and The Vagina Flashcards

1
Q

a focal mass of adenomyosis

A

adenomyoma

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2
Q

the benign invasion of endometrial tissue into the myometrium of the uterus

A

adenomyosis

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3
Q

failure of an organ or structure to grow during embryologic development

A

agenesis

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4
Q

the absence of menstruation

A

amenorrhea

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5
Q

the uterine body tilts forward and comes in contact with the cervix, forming an acute angle between the body and the cervix

A

anteflexion

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6
Q

the typical version of the uterus where the uterine body tilts forward, forming a 90 degree angle with the cervix

A

anteversion

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7
Q

a benign cyst that is located in one of the Bartholin glands in the region of the vulva

A

Bartholin duct cyst

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8
Q

the outer layer of the endometrium

A

basal layer

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9
Q

a common uterine anomaly in which the endometrium divides into two horns; also referred to as bircornis unicollis

A

bicornuate uterus

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10
Q

limp

A

boggy

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11
Q

pelvic ligament that extends from the lateral aspect of the uterus to the side walls of the pelvis

A

broad ligament

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12
Q

an overgrowth of epithelial cells within the cervix resulting in a broad based or pedunculated mass of tissue

A

cervical polyp

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13
Q

the rigid region of the uterus between the isthmus and the vagina

A

cervix

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14
Q

physical defects that are present in a person at birth; may also be referred to as congenital anomalies

A

congenital malformations

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15
Q

areas just inferior to the fundus of the uterus where the fallopian tubes are attached bilaterally

A

cornua (uterus)

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16
Q

the uterine body

A

corpus

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17
Q

the long axis of the uterus deviating to the right of the midline

A

dextroverted uterus

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18
Q

a drug administered to pregnant woman from the 1940s to the 1970s to treat threatened abortions and premature labor that has been linked with uterine malformation in the exposed fetus

A

DES

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19
Q

difficult or painful defecation

A

dyschezia

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20
Q

difficult or painful menstruation

A

dysmennorhea

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21
Q

painful sexual intercourse

A

dyspareunia

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22
Q

painful or difficult urination

A

dysuria

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23
Q

area that lies between the two layers of endometrium; may also be referred to as the uterine cavity

A

endometrial cavity

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24
Q

the inner mucosal layer of the uterus

A

endometrium

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25
Q

the inferior portion of the cervix that is in close contact with the vagina

A

external os

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26
Q

fibroid

A

leiomyoma

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27
Q

the functional inner layer of the endometrium that is altered by the hormones of the menstrual cycle

A

functional layer

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28
Q

the most superior and widest portion of the uterus

A

fundus

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29
Q

a benign cyst located within the vagina

A

Gartner duct cyst

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30
Q

blood accumulation within the vagina

A

hematocolpos

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31
Q

blood accumulation within the uterine cavity

A

hematometra

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32
Q

blood accumulation within the uterus and vagina

A

hematometrocolpos

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33
Q

fluid accumulation within the vagina

A

hydrocolpos

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34
Q

fluid accumulation within the uterus and vagina

A

hydrometrocolpos

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35
Q

the surgical removal of the uterus

A

hysterectomy

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36
Q

a radiographic procedure that uses a dye instilled into the endometrial cavity and fallopian tubes to evaluate for internal abnormalities

A

hysterosalpingography

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37
Q

the surgical repair of a uterine septum in a septate uterus using hysteroscopy

A

hysteroscopic uterine septoplasty

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38
Q

a vaginal anomaly in which the hymen has no opening, therefore resulting in an obstruction of the vagina

A

imperforate hymen

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39
Q

the superior portion of the cervix closest to the isthmus

A

internal os

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40
Q

a leiomyoma located within the uterine cavity

A

intracavitary

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41
Q

location of a leiomyoma within the myometrium of the uterus

A

intramural

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42
Q

area of the uterus between the corpus and the cervix

A

isthmus

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43
Q

a benign, smooth muscle tumor of the uterus; may also be referred to as a fibroid or uterine myoma

A

leiomyoma

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44
Q

the malignant manifestation of a leiomyoma

A

leiomyosarcoma

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45
Q

the long axis of the uterus deviating to the left of midline

A

levoverted uterus

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46
Q

the term used for the isthmus of the uterus during pregnancy

A

lower uterine segment

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47
Q

a fibroid treatment that utilizes focused high-frequency, high-energy ultrasound guided by MRI to heat and destroy fibroid tissue

A

magnetic resonance imaging-guided high-intensity focused ultrasound

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48
Q

excessive and prolonged bleeding at irregular intervals

A

menorrhagia

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49
Q

paired embryonic ducts that develop into the female urogenital tract

A

Mullerian ducts

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50
Q

having birthed more than one child

A

multiparous

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51
Q

the surgical removal of a myoma (fibroid) of the uterus

A

myomectomy

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52
Q

the muscular layer of the uterus

A

myometrium

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53
Q

benign cysts located within the cervix

A

nabothian cysts

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54
Q

the first 4 weeks (28 days) after birth

A

neonatal

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55
Q

never given birth

A

nulliparous

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56
Q

the total number of pregnancies in which the patient has given birth to a fetus at or beyond 20 weeks gestational age or an infant weighing more than 500g

A

parity

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57
Q

something that grows off of a stalk

A

pedunculated

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58
Q

the outer layer of the uterus; may also be referred to as the serosal layer

A

perimetrium

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59
Q

pubertal development before the age of 7; the early development of pubic hair, breast, or genitals

A

precocious puberty

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60
Q

secondary sexual development induced by sex steroids or from other sources such as an ovarian tumor, adrenal tumor, or steroid use

A

pseudoprecocious puberty

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61
Q

the uterine body tilts backward and comes in contact with the cervix, forming an acute angle between the body and the cervix

A

retroflexion

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62
Q

the uterine body tilts backward, without a bend where the cervix and body meet

A

retroversion

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63
Q

a sonographic procedure that uses saline instillation in the endometrial cavity, and, possibly, the fallopian tubes to evaluate for internal abnormalities; also referred to as sonohysterography

A

saline infusion sonohysterography

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64
Q

common congenital malformation of the uterus that results in a single septum that separates two endometrial cavities

A

septate uterus

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65
Q

the outermost layer of the uterus; may also be referred to as the perimetrium

A

serosal layer

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66
Q

a leiomyoma that distorts the shape of the endometrium

A

submucosal

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67
Q

congenital malformation of the uterus that results in a normal uterine contour with an endometrium that branches into two horns

A

subseptate uterus

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68
Q

location of a leiomyoma in which the tumor grows outward and distorts the contour of the uterus

A

subserosal

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69
Q

twisting

A

torsion

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70
Q

congenital malformation of the uterus that results in a uterus with one horn

A

unicornuate uterus

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71
Q

procedure used to block the blood supply to a leiomyoma

A

uterine artery embolization

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72
Q

uterine myoma

A

leiomyoma

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73
Q

congenital malformation of the uterus that results in the complete duplication of the uterus, cervix, and vagina

A

uterus didelphys

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74
Q

occlusion or imperforation of the vagina; can be congenital or acquired

A

vaginal atresia

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75
Q

the portion of the vagina remaining after a hysterectomy

A

vaginal cuff

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76
Q

recesses of the vagina

A

vaginal fornices

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77
Q

collective term for the mons pubis, labia majora, and labia minora, vestibule, Bartholin gland, and clitoris

A

vulva

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78
Q

cyclic pelvic pain, enlarged uterus, abdominal pain, urinary retention, amennorhea

A

Vaginal obstructions

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79
Q

distention of the uterus or vagina or both with anechoic or complex fluid

A

vaginal obstruction

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80
Q

uterine enlargement, boggy, tender uterus, dysmennorhea, menometrorrhagia, pelvic pain, dyschezia, dyspareunia, multiparous

A

adenomyosis

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81
Q

diffusely enlarged uterus, hypoechoic or echogenic areas adjacent to endometrium, heterogenous myometrium, myometrial cysts, ill-defined interface between myometrium and endometrium, thickening of the fundus or posterior myometrium

A

Adenomyosis

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82
Q

pelvic pressure, menorrhagia, palpable pelvic mass, enlarged bulky uterus, urinary frequency, dysuria, constipation, infertility

A

uterine leiomyoma

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83
Q

hypoechoic mass within the uterus, posterior shadowing from the mass, may have calcifications or cystic components

A

uterine leiomyoma

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84
Q

pelvic pressure and pain, menorrhagia, palpable abdominal mass, enlarged bulky uterus, urinary frequency, dysuria, constipation

A

leiomyosarcoma

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85
Q

rapidly growing mass within the uterus, hypoechoic mass within the uterus, posterior shadowing, may have calcifications or cystic components

A

leiomyosarcoma

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86
Q

anechoic mass within the cervix, may be multiple, may be complex

A

Nabothian cyst

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87
Q

anechoic or complex mass within the vagina

A

Gartner Duct Cyst

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88
Q

painful swelling and enlargement in the area of the vulva, fever, dysuria, dyspareunia

A

Bartholin Duct Cyst or Abscess

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89
Q

simple cyst; abscess may contain debris and produce dirty shadowing, Color Doppler may provide evidence of hyperemia due to infection

A

Bartholin Duct Cyst or Abscess

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90
Q

early development of secondary sexual characteristics with menses, ovulation, and elevated gonadotropin levels

A

isosexual precocity

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91
Q

characterized by isolated pubic hair development and increased levels of adrenal androgens

A

premature adrenarche

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92
Q

characterized by isolated breast development with normal prepubertal hormones

A

premature thelarche

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93
Q

body changes typically occurring at puberty, such as enlargement of breasts and growth of pubic hair

A

secondary sexual characteristics

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94
Q

a condition in which a female develops physical changes that are associated with male hormones (androgens) such as hair growth

A

virilization

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95
Q

Genetic gender is determined at ____ or _____

A

fertilization
conception

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96
Q

Female development requires the absence of ______

A

testosterone

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97
Q

Gender is not typically apparent until about the ____ week of embryonic life

A

12th

98
Q

The uterus, vagina, and fallopian tubes develop from paired ______

A

Mullerian ducts

99
Q

Mullerian ducts are also known as:

A

paramesonephric ducts

100
Q

pear shaped, retroperitoneal organ

A

uterus

101
Q

The uterus lies anterior to the ____ and posterior to the _____

A

rectum
urinary bladder

102
Q

The uterus is bounded laterally by the ______

A

broad ligaments

103
Q

The primary function of the _____ is to provide a place for the products of conception to implant and develop

A

uterus

104
Q

Four major divisions of the uterus

A

fundus
corpus
isthmus
cervix

105
Q

most superior and widest portion of the uterus

A

fundus

106
Q

Each fallopian tube attaches to the uterus at the level of the uterine horns called the:

A

cornua

107
Q

largest part of the uterus

A

corpus

108
Q

The corpus is ____ to the fundus

A

inferior

109
Q

area located between the corpus and the cervix

A

isthmus

110
Q

During pregnancy the isthmus may be referred to as the _____

A

lower uterine segment

111
Q

rigid component of uterus

A

cervix

112
Q

The cervix is _____ to the isthmus

A

inferior

113
Q

Portion of the uterus that projects into the vagina

A

cervix

114
Q

The cervix is marked superiorly by the _____, which is in contact with the isthmus

A

internal os

115
Q

The cervix is marked posteriorly by the _____ which is in close contact with the vagina.

A

external os

116
Q

tubular organ that extends from the external os of the cervix to the external genitalia

A

vagina

117
Q

envelope inferior aspect of cervix

A

vaginal fornices

118
Q

3 layers of vagina

A

inner mucosal layer
middle muscular layer
outer adventitia layer

119
Q

The uterine wall consists of three layers:

A

serosal layer or perimetrium
myometrium or muscular layer
endometrium

120
Q

component shed during menstruation

A

functional layer of endo

121
Q

also referred to as the uterine cavity

A

endometrial cavity

122
Q

The neonatal uterus may exhibit distinct endo echoes in the 1st week of life as a result of _______

A

maternal hormone stimulation

122
Q

The neonatal uterus appears as:

A

prominent tubular structure

123
Q

Normal prepubertal uterus cervix to uterus ratio

A

2:1

124
Q

Nulliparous adult uterus length and AP

A

6-8.5 cm
2-4 cm

125
Q

Multiparous adult uterus length and AP

A

8-10.5 cm
3-5 cm

126
Q

Postmenopausal adult uterus length and AP

A

3.5-7.5 cm
1.7-3.3 cm

127
Q

uterine position in which the body tilts forward or anteriorly forming a 90 degree angle with vagina

A

anteversion

128
Q

denotes position in which uterine body folds forward, possibly coming in contact with the uterus

A

anteflexion

129
Q

position in which uterine body tilts backward or posteriorly, without a bend where the cervix and body meet

A

retroversion

130
Q

uterine body tilts backward and actually comes in contact with cervix

A

retroflexion

131
Q

uterus located more on the left

A

levoverted

132
Q

uterus located more on the right

A

dextroverted

133
Q

Uterine malformations are a result of fusion anomalies of the ______

A

Mullerian ducts

134
Q

common uterine anomaly that is present when the endometrium divides into two endometrial cavities with one cervix, with a prominent concavity noted in the outline of the uterine fundus

A

bicornuate uterus

135
Q

uterus has only one horn

A

unicornuate uterus

136
Q

uterus that has two completely separate uterine cavities separated by an AP septum

A

septate uterus

137
Q

characterized by an incomplete septum, has a narrow contour with an endometrium that branches into two horns

A

subseptate uterus

138
Q

subtle variant in which endo has a concave contour at the uterine fundus

A

arcuate uterus

139
Q

completed duplication of vagina, cervix, and uterus

A

uterus didelphys

140
Q

drug administered to pregnant women from the 1940s to the 1970s to treat threatened abortions and premature labor; have been linked to menstrual disorders, infertility, and OB complications

A

DES

141
Q

The ______ uterus explicit connection with spontaneous abortion

A

septate

142
Q

radiographic study that utilizes contrast to evaluate uterine cavity and fallopian tubes

A

hysterosalpingography

143
Q

resection of septum

A

hysteroscopic uterine septoplasty

144
Q

vagina distended with simple, anechoic fluid

A

hydrocolpos

145
Q

blood components from menstruation retained in uterine cavity or vagina

A

hematometra/ hematrocolpos

146
Q

condition when both the uterine cavity and vagina are filled with blood

A

hematometrocolpos

147
Q

invasion of endometrial tissue into myometrium

A

adenomyosis

148
Q

common cause of abnormal uterine bleeding

A

adenomyosis

149
Q

In adenomyosis, the basal layer of endometrium can often extend into the myometrium at depths of at least ___mm

A

2.5

150
Q

focal adenomyosis in the form of a mass

A

adenomyoma

151
Q

uterus will appear diffusely enlarged and heterogenous, may be indistinct hypoechoic or echogenic areas scattered throughout myometrium with small myometrial cysts

A

Adenomyosis

152
Q

Adenomyosis is often present in a uterus affected by:

A

fibroid tumors

153
Q

risk factors for adenomyosis

A

early menarche
shorter menstrual cycles

154
Q

benign, smooth muscle tumor of the uterus

A

leiomyoma

155
Q

most common gynecologic tumors

A

leiomyoma

156
Q

leading cause of hysterectomy and gynecologic surgery

A

leiomyoma

157
Q

solid, hypoechoic masses that produce posterior shadowing, may have calcifications or cystic components

A

leiomyoma

158
Q

leiomyoma located within the myometriu m

A

intramural

159
Q

most common location of leiomyomas

A

intramural

160
Q

leiomyoma that grows outward and distorts contour of uterus, pedunculated, associated with broad ligament, may undergo torsion

A

subserosal

161
Q

leiomyoma located adjacent to endometrial cavity; often distort shape of endometrium

A

submucosal

162
Q

leiomyoma located within the uterine cavity; usually lead to abnormal uterine bleeding because of location in relation to endo

A

intrcavitary

163
Q

Fibroid growth is associated with ____ stimulation

A

estrogen

164
Q

____ or _____ fibroids may lead to infertility

A

intracavitary
submucosal

165
Q

Leiomyosarcoma are most commonly found in

A

African American Women

166
Q

The median age for leiomyosarcomas is:

A

54

167
Q

benign retention cysts located within the cervix

A

Nabothian cyst

168
Q

most common female malignancy in women younger than 50

A

cervical carcinoma

169
Q

The greatest risk factor for cervical carcinoma is:

A

HPV

170
Q

imhomogenous, bulky, enlarged cervix or as a focal mass within the cervix

A

cervical carcinoma

171
Q

The cervical width should not exceed ___ cm

A

4

172
Q

In patients with a hysterectomy, the cervical remnant should not exceed ___ cm in AP

A

4.4

173
Q

The vaginal cuff should not exceed __ cm

A

2

174
Q

narrowing of the endocervical canal

A

cervical stenosis

175
Q

overgrowth of epithelial cells within the cervix, resulting in broad based or pedunculated mass of tissue; chronic inflammation, bleeding, possible infection

A

cervical polyp

176
Q

within vagina on wall; typically small; asymptomatic; remnants of mesonephric or Wolffian duct; anechoic or complex

A

Gartner Duct Cyst

177
Q

benign cyst that is located within one of the Bartholin glands in the region of the vulva

A

Bartholid duct cyst

178
Q

mucus-secreting glands, located on posterolateral aspect of vaginal orifice

A

Bartholin glands

179
Q

pubertal development before the age of 7

A

precocious puberty

180
Q

hormone produced by the hypothalamus

A

gonadotropin-releasing hormone

181
Q

may be associated with intracranial tumors, infection, congenital abnormality, or traumatic injury to hypothalamus

A

true precocious puberty

182
Q

The brain tumor most likely associated with true precocious puberty

A

hypothalamic hamartoma

183
Q

Pseduoprecious puberty has been linked to _____, ______, and _____ tumors

A

ovarian
adrenal
liver

184
Q

Adrenal tumors may also lead to:

A

congenital adrenal hyperplasia

185
Q

absent or incomplete breast development after age of 12

A

Delayed puberty

186
Q

also known as monsomy X or gonadal dysgenesis

A

Turner syndome

187
Q

small stature, webbed neck, poor breast development, rudimentary ovaries, primary amennorhea

A

Turner Syndrome

188
Q

What is the brain tumor that is most likely associated with precocious puberty?

A

hypothalamic hamartoma

189
Q

Which of the following would be found in the region of the vulva?
a. Gartner duct cyst
b. Nabothian cyst
c. Cervical polyp
d. Bartholin cyst

A

d

190
Q

What is dyschezia?

A

painful defecation

191
Q

What is another name for the perimetrium?

A

Serosal layer

192
Q

Which of the following is the term for the accumulation of blood within the endometrium?
a. hydrometra
b. hydrocolpos
c. hematocolpos
d. hematometra

A

d

193
Q

Which of the following may stimulate leiomyoma growth?
a. Follicle-stimulating hormone
b. Prolactin
c. estrogen
d. luteinizing hormone

A

c

194
Q

In postpubertal young girls, what is a likely cause of cyclic abdominal pain, amenorrhea, and an enlarged uterus?

A

imperforate hymen

195
Q

What word part means horn?

A

cornu

196
Q

Which of the following is characterized by an incomplete septum and a normal uterine contour with an endometrium that branches into two horns?
a. uterus didelphys
b. unicornuate uterus
c. subseptate uterus
d. septate uterus

A

c

197
Q

What layer of the endometrium is typically affected by adenomyosis?

A

Basal

198
Q

All of the following are parts of the uterus except:
a. corpus
b. fundus
c. cervix
d. vagina

A

d

199
Q

What is the most common caused of delayed puberty in the presence of an elevation in follicle-stimulating hormone?

A

gonadal dysgenesis

200
Q

Which of the following is thought to be remnants of the Wolffian duct?
a. Nabothian cyst
b. Gartner duct cyst
c. Bartholin duct cyst
d. Leiomyoma

A

b

201
Q

Which of the following fibroid locations would most likely result in abnormal uterine bleeding because of its relationship to the endometrium?
a. submucosal
b. intramural
c. subserosal
d. subserosal pedunculated

A

a

202
Q

All of the following are sonographic findings consistent with adenomyosis except:
a. diffuse, enlarged uterus
b. myometrial cysts
c. hypoechoic areas adjacent to the endometrium
d. complex adnexal mass

A

d

203
Q

The largest part of the uterus is the:

A

corpus

204
Q

Which of the following would be most indicative of a leiomyosarcoma?
a. vaginal bleeding
b. rapid growth
c. dysuria
d. large hypoechoic mass

A

b

205
Q

The inferior portion of the cervix closest to the vagina is the:

A

external os

206
Q

The inner mucosal lining of the uterus is the:

A

endometrium

207
Q

Difficult or painful intercourse is referred to as:

A

dyspareunia

208
Q

What congenital malformation of the uterus is common and has a clear association with an increased risk for spontaneous abortion?

A

septate uterus

209
Q

Absence of menstruation is referred to as:

A

amenorrhea

210
Q

The invasion of endometrial tissue into the myometrium of the uterus is referred to as:

A

adenomyosis

211
Q

Pseudoprecocious puberty may be associated with all of the following except:
a. ovarian tumor
b. adrenal tumor
c. liver tumor
d. brain tumor

A

d

212
Q

The layer of the endometrium that is significantly altered as a result of hormonal stimulation during the menstrual cycle is the:

A

functional layer

213
Q

The most superior and widest portion of the uterus is the:

A

fundus

214
Q

A 24 year old female patient presents to the sonography department for a pelvic sonogram with an indication of pelvic pain. Upon sonographic interrogation, the sonographer notes an anechoic mass within the vagina. This mass most likely represents a(n):

A

Gartner duct cyst

215
Q

What section of the uterus is also referred to as the lower uterine segment?

A

isthmus

216
Q

The outer layer of the endometrium is the:

A

basal layer

217
Q

Which of the following would be considered the more common uterine anomaly?
a. bicornis univernus
b. bicornis bicollis
c. uterus didelphys
d. septate uterus

A

d

218
Q

The rigid region of the uterus located between the vagina and the isthmus is the:

A

cervix

219
Q

Upon sonographic evaluation of a patient complaining of abdominal distention, you visualize a large, hypoechoic mass distorting the anterior border of the uterus. What is the most likely location of this mass?

A

subserosal

220
Q

A simple fluid accumulation within the vagina secondary to an imperforate hymen is:

A

hydrocolpos

221
Q

The uterine position in which the corpus tilts forward and comes in contact with the cervix describes:

A

anteflexion

222
Q

What leiomyoma location would have an increased risk to undergo torsion?

A

pedunculated

223
Q

A 13 year old girl presents to the sonography department with a history of cyclic pain, abdominal swelling, and amennorhea. Sonographically, you visualized an enlarged uterus and a distended vagina that contains anechoic fluid with debris. What is the most likely diagnosis?

A

hematocolpos

224
Q

All of the following are clinical findings associated with leiomyoma except:
a. myometrial cysts
b. infertility
c. palpable pelvic mass
d. menorrhagia

A

a

225
Q

The surgical removal of a fibroid is termed:

A

myomectomy

226
Q

Which of the following is typically not a clinical complaint of women who are suffering from adenomyosis?
a. amenorrhea
b. dysmennorhea
c. dyspareunia
d. menometrorrhagia

A

a

227
Q

The paired embryonic ducts that develop into the female urogenital tract are the:

A

Mullerian ducts

228
Q

Precocious puberty is defined as the development of pubic hair, breasts and genitals before the ago of:

A

7

229
Q

Abnormally heavy and prolonged menstrual flow between periods is termed:

A

menometrorrhagia

230
Q

Leiomyomas that project from a stalk are termed:

A

pedunculated

231
Q

Congenital malformation of the uterus that results in complete duplication of the genital tract is:

A

uterus didelphys

232
Q

A 38 year old female patient presents to the sonography department for a pelvic sonogram with an indication of pelvic pain. Upon sonography interrogation, the sonographer notes an anechoic mass within the cervix. This mass most likely represents a:

A

nabothian cyst

233
Q

Leiomyosarcoma of the uterus denotes:
a. the benign invasion of endometrial tissue into the myometrium
b. the ectopic location of endometrial tissue in the adnexa
c. the malignant counterpart of a fibroid
d. an anechoic, simple cyst located within the cervix

A

c

234
Q

The location of a fibroid within the myometrium is termed:

A

intramural

235
Q

The superior portion of the cervix is the:

A

internal os

236
Q

Anechoic fluid noted distending the uterus and vagina within a pediatric patient is termed:

A

hydrometrocolpos

237
Q

The normal position of the uterus is:

A

anteverted

238
Q

The area of attachment of the fallopian tubes to the uterus is the:

A

cornua

239
Q

The recesses of the vagina are the:

A

fornices

240
Q

A patient presents to the sonography department for a pelvic sonogram with a history of adenomyosis that was diagnosed following an MRI of the pelvis. What are the most likely sonographic findings?
a. Complex, bilateral adenexal masses
b. myometrial cysts with enlargement of the posterior uterine wall
c. endometrial thinning and cervical dilation
d. uterine atrophy with bilateral ovarian cysts

A

b

241
Q
A

Sonographic Topics (35 decks)

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