Case of the Day: A Young Patient with an Adnexal Mass

Case Title: A Young Patient with an Adnexal Mass

Patient History:

A 30-year-old female patient presents with a large adnexal mass incidentally found on a pelvic ultrasound for dysmenorrhea.

Thanks to:

Kelsey Brisebois
Stephanie R. Wilson

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IMAGE DESCRIPTION: The following mass is identified on greyscale in the patient’s right adnexa. The patient is asymptomatic on the day of the exam.

QUESTION: Does this mass have a pathognomonic appearance? What is it called?

Dermoid Plug

Cystic unilocularity

Both of the above

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IMAGE DESCRIPTION: Color Doppler evaluation of the lesion shows no internal vascularity, but flow is present in the tissue around the lesion.

QUESTION: True or False: Addition of Color Doppler is important in the assessment of this mass?

True

False

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IMAGE DESCRIPTION: CEUS is performed and the following arterial phase is shown.

QUESTION: With the Addition of CEUS, we show?

Vascular mass

A completely avascular mass

Mild Blood flow

Your score is

The average score is 60%

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