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Imaging of the pelvis

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No pelvic X-ray/CT in fertile females (except emergency) ... Actinomycosis. Department of Radiology, University of Szeged, Hungary. Female pelvis ... – PowerPoint PPT presentation

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Title: Imaging of the pelvis


1
Imaging of the pelvis
  • Dr. András Palkó

2
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm
  • No pelvic X-ray/CT in fertile females (except
    emergency)
  • US (max 3 in normal pregnancy incl baby movie)
  • VUS
  • TRAUS
  • MR (limit its use in first trimester)
  • Pelvic
  • Transrectal
  • Intervention
  • Selective embolisation/chemotherapy
  • Focused ultrasound

3
Decrease risks of ionizing radiation
  • Fertile female, not pregnant
  • Avoid direct pelvic examination any time
  • X-ray/CT of other regions in first two weeks of
    the cycle only
  • Pregnancy
  • Avoid direct pelvic examination any time
  • Emergency X-ray/CT of other regions in
    second/third trimester only
  • Direct pelvic radiation in first trimester of
    unknown pregnancy consider termination

4
(No Transcript)
5
Normal uterus
6
Normal uterus
7
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

8
Pregnancy
9
Pregnancy, 26th week
10
Pregnancy, 28th week
11
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

12
Arnold-Chiari, 20th week
13
Duplication cyst of the stomach
14
Mola hydatidosa
15
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

16
Ectopic pregnancy
17
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

18
Uterus duplex
19
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

20
Leiomyomas
21
Endometrial cc
22
Cervix tumor
23
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

24
HSG
25
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

26
Tubo-ovarial abscess
27
Actinomycosis
28
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

29
Cyst
30
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

31
Endometriosis
32
Female pelvis
  • Pregnancy
  • Normal
  • Pathologic
  • Ectopic
  • Uterus
  • Congenital disorders
  • Inflammation, infection
  • Neoplasm
  • Adnexes
  • Inflammation, infection, abscess
  • Cyst
  • Endometriosis
  • Neoplasm

33
Teratoma
34
Teratoma
35
Ovarium tumor
36
Mucinous adenocc.
37
Peritoneal carcinosis
38
Male pelvis
  • Prostate
  • Acute inflammation, abscess
  • Chr. inflammation, hypertrophy
  • Tumor
  • Testicle
  • Congenital disorder
  • Inflammation
  • Trauma, torsion
  • Tumor
  • US
  • TRAUS
  • SPUS
  • TRUS
  • MR
  • Pelvic
  • Transrectal (spectroscopy)
  • X-ray, DSA, CT
  • of little use

39
Male pelvis
  • Prostate
  • Acute inflammation, abscess
  • Chr. inflammation, hypertrophy
  • Tumor
  • Testicle
  • Congenital disorder
  • Inflammation
  • Trauma, torsion
  • Tumor

40
Prostate abscess
41
Male pelvis
  • Prostate
  • Acute inflammation, abscess
  • Chr. inflammation, hypertrophy
  • Tumor
  • Testicle
  • Congenital disorder
  • Inflammation
  • Trauma, torsion
  • Tumor

42
Prostate hypertrophy
43
Male pelvis
  • Prostate
  • Acute inflammation, abscess
  • Chr. inflammation, hypertrophy
  • Tumor
  • Testicle
  • Congenital disorder
  • Inflammation
  • Trauma, torsion
  • Tumor

44
Tumor
45
Tumor
46
Male pelvis
  • Prostate
  • Acute inflammation, abscess
  • Chr. inflammation, hypertrophy
  • Tumor
  • Testicle
  • Congenital disorder
  • Inflammation
  • Trauma, torsion
  • Tumor

47
Normal testicle
48
Normal testicle
49
Male pelvis
  • Prostate
  • Acute inflammation, abscess
  • Chr. inflammation, hypertrophy
  • Tumor
  • Testicle
  • Congenital disorder
  • Inflammation
  • Trauma, torsion
  • Tumor

50
Retentio testis
c
b
51
Varicocele
52
Male pelvis
  • Prostate
  • Acute inflammation, abscess
  • Chr. inflammation, hypertrophy
  • Tumor
  • Testicle
  • Congenital disorder
  • Inflammation
  • Trauma, torsion
  • Tumor

53
Orchidoepididymitis
54
Male pelvis
  • Prostate
  • Acute inflammation, abscess
  • Chr. inflammation, hypertrophy
  • Tumor
  • Testicle
  • Congenital disorder
  • Inflammation
  • Trauma, torsion
  • Tumor

55
Testicle injury
56
Testicular torsion
57
Male pelvis
  • Prostate
  • Acute inflammation, abscess
  • Chr. inflammation, hypertrophy
  • Tumor
  • Testicle
  • Congenital disorder
  • Inflammation
  • Trauma, torsion
  • Tumor

58
Adenoma
59
Seminoma
60
Retentio testis - seminoma
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