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Diagnostic Ultrasound - Abdomen and Pelvis

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Ovaries<br />

Anatomy: <strong>Pelvis</strong><br />

CYCLIC CHANGES OF OVARY<br />

Developing follicles<br />

Cumulus oophorus<br />

Corpus albicans<br />

Corpus luteum<br />

Dominant follicle<br />

Mature follicles<br />

(Top) During the follicular phase of the menstrual cycle, several follicles begin to develop, but by days 8-12, a dominant follicle has<br />

formed, <strong>and</strong> the remainder begin to regress. On day 14, the follicle ruptures <strong>and</strong> the egg is released. After ovulation, a corpus luteum<br />

forms, <strong>and</strong> if fertilization does not occur, the corpus luteum degenerates into a corpus albicans. (Middle) Longitudinal TV ultrasound of<br />

the ovary at the early follicular phase is shown. Note the developing follicles of variable size at the periphery of the ovary. (Bottom) TV<br />

ultrasound shows a dominant follicle developed in the late follicular phase days before ovulation. This should not be confused for a<br />

pathologic cyst.<br />

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