A Transabdominal Ultrasound

A 60-year-old female presented with vague lower abdominal pain for 6 months. A transabdominal female pelvic ultrasound was performed stat. Images courtesy of UltrasoundCases.info owned by SonoSkills   What is the most likely diagnosis? A. Distended urinary bladder with debris and large stone B. Dermoid cyst C. Endometrioma Test your knowledge of POCUS of Obstetrics/First Trimester with this knowledge check! Answer: 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

A 60-year-old female presented with vague lower abdominal pain for 6 months. A transabdominal female pelvic ultrasound was performed stat.

Images courtesy of UltrasoundCases.info owned by SonoSkills

 

What is the most likely diagnosis?

A. Distended urinary bladder with debris and large stone
B. Dermoid cyst
C. Endometrioma

Test your knowledge of POCUS of Obstetrics/First Trimester with this knowledge check!


Answer:

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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