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Diagnostic Ultrasound - Abdomen and Pelvis

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Endometrial Polyp<br />

(Left) Longitudinal<br />

transvaginal ultrasound shows<br />

focal nonspecific thickening of<br />

the endometrium ſt in a<br />

patient with dysfunctional<br />

uterine bleeding. The majority<br />

of the endometrium is<br />

atrophic, with a thin trilaminar<br />

appearance . (Right)<br />

Longitudinal transvaginal<br />

ultrasound during saline<br />

infusion in the same patient<br />

reveals an elongated<br />

pedunculated polyp ſt with a<br />

small stalk corresponding<br />

to the focal area of<br />

endometrial thickening.<br />

Diagnoses: Female <strong>Pelvis</strong><br />

(Left) Longitudinal<br />

transvaginal ultrasound of the<br />

cervix shows a large polyp ſt<br />

prolapsing through the<br />

external os . Small internal<br />

cystic spaces are visible<br />

near the internal os. (Right)<br />

Sagittal T2-weighted MR in<br />

the same patient shows the<br />

polyp protruding through the<br />

cervical canal ſt. The polyp is<br />

hypointense relative to the<br />

normal endometrium , with<br />

the exception of internal cystic<br />

spaces .<br />

(Left) Longitudinal<br />

transvaginal ultrasound shows<br />

nonspecific focal thickening<br />

ſt in the upper endometrium,<br />

which could be secondary to<br />

hyperplasia, a polyp, or<br />

carcinoma. (Right)<br />

Longitudinal transvaginal<br />

ultrasound in the same patient<br />

following saline infusion<br />

reveals 2 sessile polyps ſt<br />

corresponding to the region of<br />

focal endometrial thickening.<br />

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