Image Atlas of Fibroid in US, CT and MR
US: Hypoechoic small fibroid Small anterior wall myoma |
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US: Hypoechoic fibroid | |
US: Fibroid | |
US: Longitudinal scan | |
US: Fibroid with calcifications | |
US: Endovaginal uterine fibroid | |
CT: Arrowheads point to enlarged uterus with multiple fibroids. | |
CT Calcified Fibroid. Arrrowheads point to the contour of the uterus | |
CT Calcified Fibroid. Rectum has contrast from a previous procedure. | |
CT Calcified Fibroid | |
MR Coronal Image: Fibroid Endometrial cavity has some fluid and is seen as a bright stripe. The fibroids are all hypointense. Bladder with urine / a bright signal. |
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MR Sagittal Image Calcified Fibroid |
60y/o woman who has just noticed an increasing abdominal fullness and minimal abdominal pain and has a large mass on pelvic exam.
Question: What is your initial imaging procedure?
Answer: The procedure of choice is transvaginal ultrasound followed by transabdominal ultrasound, because the larger masses from the fundus cannot be seen on transvaginal ultrasound.
Patient is a 44 year-old G2P2 who presents with heavy bleeding for the past 2 years. She has to change her menstrual pad every hour. She has no abdominal pain. On pelvic exam, her uterus is irregular in shape. She has no adenexal tenderness.
Question: Which imaging prodcedure would you consider?
Answer: Transabdominal ultrasound.