Diagnostic Ultrasound - Abdomen and Pelvis

Leiomyoma
Diagnoses: Female Pelvis
(Left) Transvaginal ultrasound
demonstrates a hypoechoic
pedunculated mass ſt with a
broad-based attachment
to the uterine fundus,
consistent with a subserosal
fibroid. (Right) Color Doppler
ultrasound in the same patient
demonstrates the vascular
pedicle from the uterus
supplying the leiomyoma ſt.
(Left) Transverse
transabdominal ultrasound in
a patient with acute pain
shows a heterogeneous
hypoechoic mass ſt with
posterior shadowing st in the
left pelvis superior to the
uterus, corresponding to the
area of pain. The medial
hypoechoic structure is the
dome of the distended bladder
. (Right) Sagittal CT
reconstruction in the same
patient better demonstrates a
thin stalk from the uterus
to a pedunculated,
nonenhancing mass ſt,
consistent with fibroid torsion
and possible necrosis.
(Left) Transabdominal
longitudinal ultrasound in a
patient with pelvic pain
demonstrates a large,
hypoechoic mass with
posterior shadowing ſt
arising superiorly from the
uterus . The mass is not
entirely included in the FOV.
(Right) Coronal NECT
reconstruction in the same
patient better demonstrates a
large subserosal fibroid ſt,
exceeding the size of the
uterus .
744