Diagnostic Ultrasound - Abdomen and Pelvis

Abnormal Endometrium
Differential Diagnoses: Female Pelvis
(Left) Longitudinal US shows
nonspecific thickening of the
endometrium ſt with
heterogeneous echogenicity.
Pathology revealed an
endometrial polyp. (Right)
Transverse US in a
postmenopausal patient with
bleeding shows a thickened
endometrium ſt with small
heterogeneous areas of
increased blood flow st.
Pathology revealed polyps as
well as inactive endometrium.
Endometrial Polyps
Endometrial Polyps
(Left) Transverse color
Doppler US shows a thickened
endometrium ſt with a single
feeding vessel st, highly
suggestive of an endometrial
polyp. (Right) Additional
imaging in the same patient
shows fluid within the
endometrial cavity
surrounding the polyp st.
Endometrial Polyps
Endometrial Polyps
(Left) Longitudinal US shows a
thickened, slightly irregular
endometrium ſt with internal
cystic components st.
Pathology was consistent with
hyperplasia. (Right)
Nonspecific thickening of the
endometrium ſt is shown.
Although the presence of a
small cyst st is suggestive of a
benign etiology, the
importance of biopsy is
emphasized as this was shown
on pathology to represent
endometrioid carcinoma.
Endometrial Hyperplasia
Endometrial Cancer
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