Diagnostic Ultrasound - Abdomen and Pelvis

Tubo-Ovarian Abscess
(Left) Longitudinal
transvaginal ultrasound shows
a dilated tender fallopian tube
ſt containing low-level
echoes and incomplete septa
st representing a pyosalpinx.
(Right) Sagittal T2 TSE MR of
the same patient shows a
debris level in the pyosalpinx
ſt. Numerous large fibroids
st were difficult to assess
with ultrasound.
Diagnoses: Female Pelvis
(Left) Coronal transvaginal
ultrasound of the uterus in a
patient with pelvic
inflammatory disease (PID)
shows endometrial fluid ſt
indicating endometritis.
(Right) Coronal transvaginal
color Doppler ultrasound
shows a multiloculated tuboovarian
abscess with debris ſt
and surrounding hyperemia.
(Left) Transverse
transabdominal color Doppler
ultrasound of the pelvis shows
a right tubo-ovarian abscess
(TOA) after dilatation and
curettage. The abscess ſt has
no central color flow. The
endometrium was thick st.
(Right) Coronal CECT of the
same patient shows the extent
of the TOA ſt. Low density
endometrium is noted st.
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