File:Benign leiomyoma with hydropic features (Radiopaedia 89250-106146 Transverse 1).jpg

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Summary:

Description
  • Radiopaedia case ID: 89250
  • Image ID: 54965930
  • Plane projection: Transverse
  • Study description: Repeat ultrasound
  • Study findings: A complex solid cystic mass lesion was seen arising from the pelvis and displacing the uterus to the left.  The right ovary was difficult to define separately from this lesion.  The previously seen likely pedunculated fibroid arising from the right side of the uterus was not reliably identified. Arising from the superior aspect of the mass in the LUQ there was a anechoic unilocular smooth walled cyst.
  • 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/

Licensing:

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

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current00:08, 10 June 2021Thumbnail for version as of 00:08, 10 June 20211,024 × 768 (99 KB) (talk | contribs)Radiopaedia project rID:89250 (batch #3871-1 A1)

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