Ultrasound - Uterus and ovaries
Adenomyosis could show multiple cystic/tubular anechoic spaces within the myometrium. Which ultrasound mode(s) could help in differential diagnosis?
Color Doppler mode shows vascular flow in the mentioned structures (mosaic pattern). Spectral Doppler shows a High-velocity flow pattern/Low vascular resistance.
How would you describe the spectral wave in a classic arteriovenous uterine malformation?
Biphasic wave with high-end diastolic velocity.
Enlarged uterus with complete myometrial inhomogeneity. There are multiple tubular anechoic spaces of varying sizes within the myometrium, giving an aspect of a uterine mass.
Doppler colour showed increased vascularity with multiple prominent and disorganised vascular components. Spectral mode shows a high-velocity flow pattern and low vascular resistance (RI 0.3).
Both annexes with increased echogenicity of the medulla and multiple follicles in the ovarian periphery.