The Common Vein

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Polyp as a Cause of Obstruction
Presumed Benign Disease



The ultrasound and MRIscan are from a 67 year old female, with an LMP of 10 years ago and with gynecologic history G9 and current history of bleeding for one month, a fever and low hematocrit. She has not had follow up gynecological examination for many years. The studies reveal a mass in the lower uterine segment and an obstructed endometrial cavity tha contains complex material which is presumed combination of blood and pus. ie hematometria and pyometria. The ultrasound is far more impressive than the MRI in that the mass (green) looks more impressive in size and there is prominent upstream accumulation of of complex material and fluids. The MRI shows a enhancing lesion arising from the endometrial mucosa, and at this time the fundal portion is relatively decompressed. The mass is presumably a benign polyp since her subsequent history to the hospital revealed only follow up for chronic renal failure and no pathological report of a malignancy has been n noted.
Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84127c01.8s




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Polyp as a Cause of Obstruction
Presumed Benign Disease



The ultrasound and MRIscan are from a 67 year old female, with an LMP of 10 years ago and with gynecologic history G9 and current history of bleeding for one month, a fever and low hematocrit. She has not had follow up gynecological examination for many years. The studies reveal a mass in the lower uterine segment and an obstructed endometrial cavity tha contains complex material which is presumed combination of blood and pus. ie hematometria and pyometria. The ultrasound is far more impressive than the MRI in that the mass (green) looks more impressive in size and there is prominent upstream accumulation of of complex material and fluids. The MRI shows a enhancing lesion arising from the endometrial mucosa, and at this time the fundal portion is relatively decompressed. The mass is presumably a benign polyp since her subsequent history to the hospital revealed only follow up for chronic renal failure and no pathological report of a malignancy has been n noted.
Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84127c01.8s




)

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The ultrasound and MRIscan are from a 67 year old female, with an LMP of 10 years ago and with gynecologic history G9 and current history of bleeding for one month, a fever and low hematocrit. She has not had follow up gynecological examination for many years. The studies reveal a mass in the lower uterine segment and an obstructed endometrial cavity tha contains complex material which is presumed combination of blood and pus. ie hematometria and pyometria. The ultrasound is far more impressive than the MRI in that the mass (green) looks more impressive in size and there is prominent upstream accumulation of of complex material and fluids. The MRI shows a enhancing lesion arising from the endometrial mucosa, and at this time the fundal portion is relatively decompressed. The mass is presumably a benign polyp since her subsequent history to the hospital revealed only follow up for chronic renal failure and no pathological report of a malignancy has been n noted.
Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84127c01.8s

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The ultrasound and MRIscan are from a 67 year old female, with an LMP of 10 years ago and with gynecologic history G9 and current history of bleeding for one month, a fever and low hematocrit. She has not had follow up gynecological examination for many years. The studies reveal a mass in the lower uterine segment and an obstructed endometrial cavity tha contains complex material which is presumed combination of blood and pus. ie hematometria and pyometria. The ultrasound is far more impressive than the MRI in that the mass (green) looks more impressive in size and there is prominent upstream accumulation of of complex material and fluids. The MRI shows a enhancing lesion arising from the endometrial mucosa, and at this time the fundal portion is relatively decompressed. The mass is presumably a benign polyp since her subsequent history to the hospital revealed only follow up for chronic renal failure and no pathological report of a malignancy has been n noted.
Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 84127c01.8s

)

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Polyp as a Cause of Obstruction
Presumed Benign Disease
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Polyp as a Cause of Obstruction
Presumed Benign Disease
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Cervical Stenosis and Metrorrhagia



The transvaginal ultrasound is from a 50 year old perimenopausal female with metrorhagia. The uterine cavity and cervical cavity are filled with fluid, and soft tissue elements are identified in the expanded cervical canal. The findings are consistent with cervical stenosis, burt the cause of the metrirhagia is not obvious. The stenosis was relieved and follow up ultrasound showed resolution. No cervical mass was identified.
Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 85921c04.8s




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Cervical Stenosis and Metrorrhagia



The transvaginal ultrasound is from a 50 year old perimenopausal female with metrorhagia. The uterine cavity and cervical cavity are filled with fluid, and soft tissue elements are identified in the expanded cervical canal. The findings are consistent with cervical stenosis, burt the cause of the metrirhagia is not obvious. The stenosis was relieved and follow up ultrasound showed resolution. No cervical mass was identified.
Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 85921c04.8s




)

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The transvaginal ultrasound is from a 50 year old perimenopausal female with metrorhagia. The uterine cavity and cervical cavity are filled with fluid, and soft tissue elements are identified in the expanded cervical canal. The findings are consistent with cervical stenosis, burt the cause of the metrirhagia is not obvious. The stenosis was relieved and follow up ultrasound showed resolution. No cervical mass was identified.
Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 85921c04.8s

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The transvaginal ultrasound is from a 50 year old perimenopausal female with metrorhagia. The uterine cavity and cervical cavity are filled with fluid, and soft tissue elements are identified in the expanded cervical canal. The findings are consistent with cervical stenosis, burt the cause of the metrirhagia is not obvious. The stenosis was relieved and follow up ultrasound showed resolution. No cervical mass was identified.
Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 85921c04.8s

)

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Cervical Stenosis and Metrorrhagia
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Cervical Stenosis and Metrorrhagia
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Endometrial Carcinoma and Uterine Obstruction
Use of Doppler



The ultrasound is from a 70 year old post menopausal female who presents with an enlarged uterus. The endometrial stripe is enlarged and is filled with fluid and an enhancing soft tissue mass consistent with an endometrial carcinoma. Note blood flow as depicted by Doppler exam (c) characterizing the soft tissue as tumor rather than a clot.
Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 86206c.8s




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Endometrial Carcinoma and Uterine Obstruction
Use of Doppler



The ultrasound is from a 70 year old post menopausal female who presents with an enlarged uterus. The endometrial stripe is enlarged and is filled with fluid and an enhancing soft tissue mass consistent with an endometrial carcinoma. Note blood flow as depicted by Doppler exam (c) characterizing the soft tissue as tumor rather than a clot.
Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 86206c.8s




)

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The ultrasound is from a 70 year old post menopausal female who presents with an enlarged uterus. The endometrial stripe is enlarged and is filled with fluid and an enhancing soft tissue mass consistent with an endometrial carcinoma. Note blood flow as depicted by Doppler exam (c) characterizing the soft tissue as tumor rather than a clot.
Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 86206c.8s

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The ultrasound is from a 70 year old post menopausal female who presents with an enlarged uterus. The endometrial stripe is enlarged and is filled with fluid and an enhancing soft tissue mass consistent with an endometrial carcinoma. Note blood flow as depicted by Doppler exam (c) characterizing the soft tissue as tumor rather than a clot.
Courtesy Ashley Davidoff MD copyright 2009 all rights reserved 86206c.8s

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Endometrial Carcinoma and Uterine Obstruction
Use of Doppler
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Endometrial Carcinoma and Uterine Obstruction
Use of Doppler
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Hyperplasia



The transvaginal ultrasound is from a 60 year old female who presents with spotting Ultrasound reveals a heterogeneous endometrial stripe consistent with endometrial hyperplasia though endometrial carcinoma is a possibility. Malignant neoplasia is a a les likely possibility
Courtesy Ashley DAvidoff MD copyright  83301.81s




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Hyperplasia



The transvaginal ultrasound is from a 60 year old female who presents with spotting Ultrasound reveals a heterogeneous endometrial stripe consistent with endometrial hyperplasia though endometrial carcinoma is a possibility. Malignant neoplasia is a a les likely possibility
Courtesy Ashley DAvidoff MD copyright  83301.81s




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The transvaginal ultrasound is from a 60 year old female who presents with spotting Ultrasound reveals a heterogeneous endometrial stripe consistent with endometrial hyperplasia though endometrial carcinoma is a possibility. Malignant neoplasia is a a les likely possibility
Courtesy Ashley DAvidoff MD copyright  83301.81s

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The transvaginal ultrasound is from a 60 year old female who presents with spotting Ultrasound reveals a heterogeneous endometrial stripe consistent with endometrial hyperplasia though endometrial carcinoma is a possibility. Malignant neoplasia is a a les likely possibility
Courtesy Ashley DAvidoff MD copyright  83301.81s

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Hyperplasia
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Hyperplasia
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Turners Syndrome
Small uterus Small Stripe



The ultrasound is from a patient with Turners syndromerevealing an exteremely small uterus measuring 4.6X 1×1.6cms. The endometrial stripe measures about 1mms uterus Turner’s syndrome size congenital small USscan ultrasound
Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 85678c.8s




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Turners Syndrome
Small uterus Small Stripe



The ultrasound is from a patient with Turners syndromerevealing an exteremely small uterus measuring 4.6X 1×1.6cms. The endometrial stripe measures about 1mms uterus Turner’s syndrome size congenital small USscan ultrasound
Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 85678c.8s




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The ultrasound is from a patient with Turners syndromerevealing an exteremely small uterus measuring 4.6X 1×1.6cms. The endometrial stripe measures about 1mms uterus Turner’s syndrome size congenital small USscan ultrasound
Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 85678c.8s

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The ultrasound is from a patient with Turners syndromerevealing an exteremely small uterus measuring 4.6X 1×1.6cms. The endometrial stripe measures about 1mms uterus Turner’s syndrome size congenital small USscan ultrasound
Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 85678c.8s

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Turners Syndrome
Small uterus Small Stripe
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Turners Syndrome
Small uterus Small Stripe
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Post Menopausal Atrophy



The transvaginal ultrasound is from a 62 year old post menopausal patient who presents with pelvic discomfort. The ultrasound shows a small atrophied uterus. The myometrium (dark red) junctional zone (light red) and endometrial cavity (pink) are outlined. In the sagittal plane the uterus measures 3.4cms in cranoicaudal dimension by 2.4cms in anteroposterior dimension (a,b) In the axial dimension (c,d) the uterus measures 2.4cms. The endometrial stripe is measured in the sagittal plane and measures .7mms.
Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 84711c01.8s




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Post Menopausal Atrophy



The transvaginal ultrasound is from a 62 year old post menopausal patient who presents with pelvic discomfort. The ultrasound shows a small atrophied uterus. The myometrium (dark red) junctional zone (light red) and endometrial cavity (pink) are outlined. In the sagittal plane the uterus measures 3.4cms in cranoicaudal dimension by 2.4cms in anteroposterior dimension (a,b) In the axial dimension (c,d) the uterus measures 2.4cms. The endometrial stripe is measured in the sagittal plane and measures .7mms.
Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 84711c01.8s




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The transvaginal ultrasound is from a 62 year old post menopausal patient who presents with pelvic discomfort. The ultrasound shows a small atrophied uterus. The myometrium (dark red) junctional zone (light red) and endometrial cavity (pink) are outlined. In the sagittal plane the uterus measures 3.4cms in cranoicaudal dimension by 2.4cms in anteroposterior dimension (a,b) In the axial dimension (c,d) the uterus measures 2.4cms. The endometrial stripe is measured in the sagittal plane and measures .7mms.
Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 84711c01.8s

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The transvaginal ultrasound is from a 62 year old post menopausal patient who presents with pelvic discomfort. The ultrasound shows a small atrophied uterus. The myometrium (dark red) junctional zone (light red) and endometrial cavity (pink) are outlined. In the sagittal plane the uterus measures 3.4cms in cranoicaudal dimension by 2.4cms in anteroposterior dimension (a,b) In the axial dimension (c,d) the uterus measures 2.4cms. The endometrial stripe is measured in the sagittal plane and measures .7mms.
Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 84711c01.8s

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Post Menopausal Atrophy
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Post Menopausal Atrophy
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Nabothian Cysts
Sagittal View of the Cervix



The ultrasound is from a 40 year old patient who presents with pelvic discomfort . Nabothian cysts in the cervix are of incidental note. They are cystic in nature demonstaring anechogenicity, through transmission, and backwall enhancement. The examination was otherwise normal.
Courtesy Ashley Davidoff MD Copyright 2010 49463




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Nabothian Cysts
Sagittal View of the Cervix



The ultrasound is from a 40 year old patient who presents with pelvic discomfort . Nabothian cysts in the cervix are of incidental note. They are cystic in nature demonstaring anechogenicity, through transmission, and backwall enhancement. The examination was otherwise normal.
Courtesy Ashley Davidoff MD Copyright 2010 49463




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Courtesy Ashley Davidoff MD Copyright 2010 49463

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The ultrasound is from a 40 year old patient who presents with pelvic discomfort . Nabothian cysts in the cervix are of incidental note. They are cystic in nature demonstaring anechogenicity, through transmission, and backwall enhancement. The examination was otherwise normal.
Courtesy Ashley Davidoff MD Copyright 2010 49463

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Sagittal View of the Cervix
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Sagittal View of the Cervix
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Normal Gray Scale and Power Doppler


46314c01 uterus endometrium blood flow myometrium perfusion normal anatomy USscan Davidoff MD



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