A 60-year-old female presented with vague lower abdominal pain for 6 months. A transabdominal female pelvic ultrasound was performed stat.
What is the most likely diagnosis?
A. Distended urinary bladder with debris and large stone
B. Dermoid cyst
C. Endometrioma
Images courtesy of UltrasoundCases.info owned by SonoSkills
Explanation
The B-mode ultrasound image shows a complex cystic mass with hyperechoic components. The larger hyperechoic component also has a posterior acoustic shadow. See references below.
References
- https://doi.org/10.1177/8756479316664313
- https://radiopaedia.org/articles/mature-cystic-ovarian-teratoma-1?lang=us
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