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Pitfalls in the Sonographic Evaluation of Adnexal Masses

Patel, Maitray D. MD

doi: 10.1097/RUQ.0b013e31823c22a4
Pictorial Essay

Sonographic evaluation of adnexal masses is subject to a variety of potential pitfalls that can lead to diagnostic overcalls and undercalls. Familiarity with the pitfalls associated with sonographic findings related to normal ovarian physiology, hemorrhagic ovarian cysts, endometriomas, cystic teratomas, extraovarian cystic masses, and exophytic uterine masses helps the imager avoid subjecting patients to unnecessary anxiety and testing, unnecessary or needlessly aggressive surgical evaluation, and incorrect diagnoses.

Department of Radiology, Mayo Clinic Arizona, Phoenix, AZ.

Received for publication August 25, 2011; accepted October 3, 2011.

The author declares no conflict of interest.

Reprints: Maitray D. Patel, MD, Department of Radiology, Mayo Clinic Arizona, 5777 E. Mayo Blvd, Phoeniz, AZ 85054 (e-mail:

© 2012 Lippincott Williams & Wilkins, Inc.