By Julia R. Fielding, Douglas L. Brown, Amy S. Thurmond
Gynecologic Imaging, a identify within the specialist Radiology sequence, via Drs. Julia R. Fielding, Douglas Brown, and Amy Thurmond, offers the complicated insights you want to take advantage of powerful use of the newest gynecologic imaging techniques and to properly interpret the findings for even your hardest circumstances. Its evidence-based, guideline-driven procedure completely covers common and version anatomy, pelvic ache, irregular bleeding, infertility, first-trimester being pregnant problems, post-partum problems, characterization of the adnexal mass, gynecologic melanoma, and lots of different serious themes. Combining an image-rich, easy-to-use layout with the better intensity that skilled practitioners desire, it offers richly illustrated, complicated information that can assist you conquer the whole diversity of diagnostic, healing, and interventional demanding situations in gynecologic imaging. on-line entry at www.expertconsult.com helps you to swiftly look for photos and speedy find the solutions to any questions.
- Get all you want to learn about the most recent developments and issues in gynecologic imaging, together with common and variation anatomy, pelvic ache, irregular bleeding, infertility, first-trimester being pregnant problems, post-partum problems, characterization of the adnexal mass, and gynecologic cancer.
- Recognize the attribute presentation of every illness through any modality and comprehend the scientific implications of your findings.
- Consult with the easiest. the world over revered radiologist Dr. Julia Fielding leads a group of entire experts who give you today’s so much accountable solutions on each subject in gynecologic imaging.
- Identify pathology extra simply with 1300 distinctive photos of either radiographic photographs and state-of-the-art modalities-MR, CT, US, and interventional procedures.
- Find info quick and simply because of a constant, hugely templated, and abundantly illustrated bankruptcy format.
Access the absolutely searchable textual content on-line at www.expertconsult.com, besides downloadable images.
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Additional info for Gynecologic Imaging
B, Transverse ultrasound image reveals the displaced, relatively normal body of the uterus (arrows) with the exophytic fibroid (F) arising from the right side. CHAPTER A 2 l Pitfalls in Gynecologic Ultrasound 23 B n FIGURE 2-3â•… Focal adenomyosis. A, Sagittal transvaginal ultrasound image reveals a smooth globular uterine contour with focal elliptical area of heterogeneity (calipers) in a retroverted uterus. B, Penetrating nondisplaced uterine vessels coursing into the region of adenomyosis. Color Doppler imaging helps to distinguish adenomyosis with penetrating vessels from a fibroid with typical circumferential vessels.
The endometrial canals. A superior exophytic fibroid arising in an otherwise normal uterus may be confused for a bicornuate uterus because they have similar contours. The lack of a split endometrial canal and classic findings of a fibroid should help distinguish these two diagnoses. False-Positive Diagnosis of Fibroids Fibroids may calcify, but not all uterine myometrial calcifications are fibroids. Calcification of arcuate uterine arteries is common in elderly women, especially those with diabetes, and is considered part of the normal aging process.
The ovaries are often larger at birth with an average volume of 1 cm3 and may be palpable as a result of multiple cysts, related to the influence of maternal hormones (Figure 2-17). Such an appearance is not worrisome and will resolve during infancy. 11 Tiny ovarian follicles are common throughout childhood. In our experience, normal ovaries are largest during the 20s and 30s, often beginning to decrease in volume and number of visible follicles during the 40s and particularly as the woman approaches menopause.