Polycystic Ovaries Ultrasound Appearances of Polycystic Ovaries Estimated reading: 2 minutes 412 views Contributors Clinical History A 34-year old lady with primary infertility was referred to have an ultrasound of the pelvis (TA and TV) to examine the ovaries. The clinician had suspected PCOS from the patient’s recent blood results. Case Description Ultrasound (TA and TV) revealed bulky ovaries; right measuring 15 ml and left 13 ml in volume. There were also multiple peripherally arranged follicles all less than 10 mm in diameter within both ovaries. These features are suggestive of polycystic ovarian morphology (polycystic ovaries). Diagnosis/ Discussion/ Treatment/ Follow up Although ultrasound is not definitive in diagnosing Polycystic Ovarian Syndrome (PCOS), hormonal analysis of the haematological samples are more accurate for this. However, some ultrasound features like bulky ovaries (> 10 ml volume), multiple peripherally arranged follicles less than 10 mm can raise sonographic suspicion of the disease. Sonograms A dual screen (TV) sonogram of the right ovary in longitudinal and transverse orientations. The ovarian volume is 15.44 ml which is above the normal of 10 ml in a premenopausal woman A dual screen (TV) sonogram of the left ovary in longitudinal and transverse orientations. The ovarian volume is 13.19 ml which is above the normal of 10 ml in a premenopausal woman A TV longitudinal sonogram of the normal retroverted uterus showing the homogeneous myometrium and endometrium Ultrasound Appearances of Polycystic Ovaries - PreviousPolycystic OvariesNext - Ultrasound Appearances of Polycystic OvariesOvarian Cancer Published on: September 19, 2024
