File:Benign leiomyoma with hydropic features (Radiopaedia 89250-106145 Transverse 1).png

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Summary:

Description
  • Radiopaedia case ID: 89250
  • Image ID: 55019067
  • Plane projection: Transverse
  • Study description: Ultrasound pelvis from 4 years prior
  • Study findings: A large pedunculated fibroid was seen within the right adnexa. It was poorly delineated from the right ovary and therefore was considered difficult to exclude ovarian involvement with certainty.
  • Modality: Ultrasound
  • System: Gynaecology
  • Findings: A large complex solid cystic mass was seen arising from the pelvis and extending into the abdomen.  2 differentials were considered most likely: 1. primary ovarian neoplastic lesion (because it appeared to arise from the right adnexa and the right ovary is not seen separately. 2. lesion arising from degeneration or neoplasia of the broad ligament fibroid (because the ovarian vein was not seen to be enlarged, the uterus appeared to possibly infiltrate the right lateral uterine wall, and prior ultrasound performed 4 years prior (see below) showed a pedunculated /broad ligament fibroid that is not seen separately on the current scan). A discrete smaller cystic lesion was seen along the left posterolateral surface of the lesion. There were a few prominent para-aortic lymph nodes of uncertain clinical significance but no definite metastatic disease in the abdominal cavity.
Date Published: 15th May 2021
Source https://radiopaedia.org/cases/benign-leiomyoma-with-hydropic-features
Author Giles Kisby
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current00:09, 10 June 2021Thumbnail for version as of 00:09, 10 June 20211,012 × 735 (533 KB)Fæ (talk | contribs)Radiopaedia project rID:89250 (batch #3871-1 A1)

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