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Thread: Uterine Fibroid - Ultrasound Atlas

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    Default Uterine Fibroid - Ultrasound Atlas

    USG is usually the initial investigation for examining the female pelvis. Ideally, both transabdominal (TA) and transvaginal (TV) scans should be performed. Transvaginal scans are more sensitive for the diagnosis of small fibroids; however, when the uterus is bulky or retroverted, the uterine fundus may lie outside of the field of view. Transabdominal views are often of limited value if the patient is obese. Ultrasonography is highly operator dependent and in skilled hands, fibroids as small as 5 mm can be demonstrated on TV USG.

    Typically, fibroids appear as well-defined, solid masses with a whorled appearance. These are usually of similar echogenicity to the myometrium, but sometimes may be hypoechoic. They cause the uterus to appear bulky or may cause an alteration of the normal uterine contour. Even noncalcified fibroids often show a degree of posterior acoustic shadowing , though this is of course more marked in calcified fibroids. Degenerate fibroids may have a complex appearance, with areas of cystic change . Doppler USG typically shows circumferential vascularity; however, fibroids which are necrotic or have undergone torsion will show absence of flow.

    Uterine Fibroid Ultrasound Atlas attachment.php?attachmentid=287&stc=1&d=1435533963

    Uterine Fibroid

    By Chishti Ultrasound Centre

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