Diagnostic Ultrasound - Abdomen and Pelvis

Endometritis
(Left) Longitudinal
transvaginal ultrasound shows
endometrial thickening ſt and
scattered foci of gas in a
patient following recent
cesarean section 3 weeks
earlier. (Right) Sagittal
unenhanced CT in the same
patient demonstrates the lowdensity
thickened
endometrium ſt with a
scattered foci of gas .
Diagnoses: Female Pelvis
(Left) Longitudinal
transvaginal ultrasound shows
extensive gas and
heterogeneous material in
the endometrial cavity;
consistent with pyometrium,
extending to the cervical os
ſt. The patient presented
with foul-smelling vaginal
discharge and pelvic pain, with
no history of recent pregnancy
or instrumentation. (Right)
Axial unenhanced CT in the
same patient shows the
endometrial gas ſt as well as
extension into the
myometrium .
(Left) Transverse endovaginal
ultrasound shows only subtle
gas in the left cornua
region in this patient with
pelvic pain and vaginal
discharge, which is consistent
with clinical endometritis.
(Right) Coronal unenhanced
CT in the same patient more
clearly demonstrates the focus
of gas in the left fundal
region.
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