Female I Flashcards
the best initial investigation in most gynecological pathology
ultrasound
US we prefere the bladder to be full or empty?
full because the distal enhancemnt
the best overall investigation in gynecology is
MRI (T2)
by the way which type of MRI we use contrast?
MRI (T2)
characters of simple cyst by US (4)
- anechoic lesion with thin reflective wall with posterior acoustic enhancement.
- Intra-ovarian or exophytic.
- No blood flow within kr peripherally.
- Surrounded by nromal ovarian tissues.
when you think about malignancy in case of cyst [8]
- age>35
- septate (multinoculur)
- thick septum (vascularization)
- nodules (vascularization)
- irregular wall
- complications
- bilateral
- mits (ascitis/peritoneal deposits).
how to calssifiy pelvic masses
- ovarian cyst (simple/ complex/ hemorrhagic/ dermoid/ choclate cyst)
- ovarian tumors
- uterine masses (fibroid/ adenomyosis/ carcinoma of cervix)
- pelvic inflammatory disease
- endometriosis
- IUCD
features of hemorrhagic ovarian cyst
NB: Hx of sudden pelvic pain
- It is complex lesion, with fine septations appears as a reticular pattern “lacy”
- spider web appearance
- Fluid-fluid level or clot retraction.
- Thin smooth wall, may be thickended.
- Blood flow may be seen only in peripherally.
how adenomyosis appeasers by US
thick myometruim (tranziant zone)
stary sky
acustic shadow behind the calcificatied mass (this is called)
iceberg sign
how endometriosis appeares by US
- hemogenus low echoes “Ground-Glass”
- no dopler in cyst
- May be multilocular
how endometriosis appeares by MRI
- if cystic: fluid-level/heterogenicity
- high intensity in fat-saturated T1
IUCD by US
hyperechoic
contrast in the genital tract this is called
hystosalpingogram HSG
SIS in radiology
saline infusion sonogram
