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Clinical Features:

A 17-year-old unmarried female patient came with left lower abdominal pain.


Ultrasound Features:

- A well-defined thin-walled cystic area of less than 5 cm in maximum diameter, having an internal lace-like reticular pattern with posterior acoustic enhancement is noted in the left adnexa with the marginal presence of ovarian tissue.

(O-RADS US 2: Almost certainly benign)

- Color Doppler shows the absence of flow within the internal reticular pattern. Normal flow is seen in the surrounding ovarian tissue. 

(Color score: 1)


Remember:

Using O-RADS or IOTA descriptors & classification systems may help clinicians understand the lesion characteristics & manage the patient accordingly.


Ultrasound Diagnosis:

Ovarian hemorrhagic cyst.


Ultrasound Images:







Left ovarian hemorrhagic cyst



3D reconstruction of the left ovarian hemorrhagic cyst


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