Diagnostic Ultrasound - Abdomen and Pelvis

Leiomyoma
(Left) Transvaginal ultrasound
shows a hypoechoic mass
within the endometrial cavity
ſt with posterior shadowing
st, consistent with a
submucosal/intracavitary
leiomyoma. (Right) Color
Doppler ultrasound of the
same patient demonstrates
multiple vessels within the
leiomyoma ſt.
Diagnoses: Female Pelvis
(Left) Endovaginal ultrasound
demonstrates a poorly
defined, heterogeneous mass
in the posterior uterine fundus
with streaky shadowing st.
The appearance overlaps with
adenomyosis. (Right) Salineinfused
sonohysterography in
the same patient confirms an
intracavitary mass ſt with
posterior shadowing st,
consistent with submucosal
leiomyoma.
(Left) Transvaginal ultrasound
demonstrates a circumscribed,
heterogeneous mass st with
areas of increased
echogenicity consistent with
calcifications ſt and
shadowing consistent with
an intramural leiomyoma.
(Right) Sagittal CT
reconstruction of the pelvis in
the same patient better
demonstrates calcifications ſt
within the posterior
intramural leiomyoma st.
Note the mass effect on the
uterus and surrounding
structures.
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