53 dr ahmed esawy imaging oral board of female pelvis part iii hsg mri fetal mri
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The Art of Radiology
HSG with normal morphology of the uterus and endocervical canal
HSG with normal morphology of the uterus and endocervical canal
Uterus unicornuate. HSG shows a opacification of a small single uterine horn thattilts to the right side of the patient. No rudimentary horn found. MRI was performed and
diagnosis confirm of unicorn uterus with no rudimentary horn.
Uterus Didelphys. Pacient with two cervix at vaginal examination and one uterinehorn shown on HSG. MRI was performed to confirm the diagnosis of uterus didelphys.
Uterus bicornuate. A widened angle superior to 105º between the uterine horns with a widened intercornual distance of greater than 4cm is very suggestive of bicornuate uterus.
Septate uterus. HSG shows uterus with partial septum morphology with absenceof contrast flow through the right fallopian tube. Left hydrosalpinx with free contrast output to
peritoneal cavity.
Arcuate uterus. Arcuata uterine cavity morphology seen in the HSG. The rightfallopian tube is permeable and the left has a hidrosalpinx, with delayed contrast passage
into the peritoneum. The contrast that has passed to the peritoneum is not distributedfreely by the presence of adhesions
Infantile uterus. Uterus small and shorter than the neck,suggestive of infantile uterus with normal size fallopian tubes.
T-shape uterus. HSG shows a filling defect sugestive of endometrial polyp and uterine cavity with T-shape
Endometrail Hyperplasia. Uterine cavity with irregular difuse filling defects in the wall of uterine cavity suggestive of endometrial hyperplasia. Left hidrosalpinx.
Endometrial hiperplasia. HSG shows uterine cavity with several filling defects suggestive of endometrial hiperplasia
Myomas. Right image: homogeneous filling defect of the contours of uterinecavity, suggestive of submucosal myoma, which obstructs the passage of contrast in theleft fallopian. Left image: filling defect in the body of uterine cavity suggestive of myoma.
Endocervical diverticula. Outpouching formations that distorts the endocervical canal.
DES exposure
cornual occlusion
cornual occlusion
Bicurnuate uterus arcuate uterus
Septate uterus
Demonstration of fallopian tube outline with Iopramide (a) and Iodamide (b). Note the sharper outline of the fallopian tubes seen in the Iodamide
Demonstration of fimbrial rugae outline with Iodamide
This is a HSG study image using Iodamide contrast media (conventional contrast media). submucosal fibroid .
Note the lymphatic contrast intravasation obtained with Iodamide
Venous intravasation seen as a network of thin vessels on top of uterus and in a pattern that could be confused with tubal filling .
unicornuate uterus
unicornuate uterus
unicornuate uterus
Venous intravasation
Submucous myoma, classically seen as a filling defect in a large uterine cavity .
Adenomyosis , wide juncitional zone , high T2 signal
bicornuate
bladder extra peritoneal rupptur , grading of truam , mucosal , intra ,
interstitial , extra , combined
cancer cervix , bladder invasion
cancer cervix , high T2 anterior parametrial invasion
cancer cervix , parametral invasion
cancer cervix with rectal invasion
cervix cancer
cervix cancer stageI
didelphyes
endometerial carcinma with hematometra
endometerial carcinoma2
endometerial carcinoma3
endometeriosis fat suppresion
endometeriosis T2
endometeriosis T1 high
endometrial carcinoma
endometrial carcinoma surrounded by hematometera
endometriosis1
hydrometra with fibroid
OVARIAN CANCER LOW RESISTIVE FLOW
ovarian serous cystadenoma
Ovarian cancer irregular thick wall cyst , papillary growth , solid eccenteric
septate uterus
study for uterine prolapse
Two IUD one in the urinary bladder with stone formation
UTERINE FIBROIDS CYSTIC DEGENERATION
UTERINE FIBROIDS T2 HYPO
uterine prolaps study,
pelvic congestion syndrome
pelvic lipomatosis
pelvic lipomatosis
rectocele , enterocele
rectocele , pelvic floor defect
LOOK FOR IMPLANTS
Abnormal, heaped placenta
Placental abruption
Uterine Rupture
Myometrial defect
Liver with ascites axial T2
Myometrial defect and ascites
MRI: Oligohydramnios coronal T2myometrail silhoutte
Umbilical cord in myometrial defectSagittal T2