Diagnostic Ultrasound - Abdomen and Pelvis

Ovaries
Transvaginal transducer
NORMAL OVARY, VARIATIONS WITH AGE
Anatomy: Pelvis
Immature follicles
Bowel gas
Immature follicles
Ovarian stroma
Developing follicle
Broad ligament
Cysts
Right ovary
Uterus
Iliac vein
Bowel
(Top) Transverse TV ultrasound of the right ovary in a 18-year-old woman shows an oval ovary with immature follicles. This image also
demonstrates the superior resolution of TV US from ability to bring the ovary to the near field as well as the higher frequencies used.
(Middle) Transverse TV ultrasound of an adult ovary is shown. There are multiple developing follicles of variable size around the
echogenic ovarian stroma (medulla) where the ovarian vessels and lymphatics enter and exit. Ovulation usually occurs when the follicle
enlarges to between 2.0 and 2.5 cm. (Bottom) TV US in a 74-year-old postmenopausal woman demonstrates atrophic right ovary
containing tiny cysts. Normal ovaries are variably detected in the postmenopausal woman because of their small size, lack of follicles,
and surrounding bowel loops.
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