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#radschoolbro #ultrasound #sonographer #radiography #ultrasoundscan
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What can you say about this GB! 

#radschoolbro #ultrasound #ultrasoundscan #ultrasounds #sonographer
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Ever seen this kinda kidney before? What’s the diagnosis!?

#radschoolbro #ultrasound #ultrasoundtech #ultrasounds #sonographer
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Interesting Ultrasound Case for Discussion

A 29-year-old female presented with a history of missed menstruation. A urine pregnancy test (UPT) was positive, and serum β-hCG levels were significantly elevated. Transabdominal ultrasound was performed, which revealed the findings demonstrated in the attached video. The sonographic appearance is interesting and raises an important diagnostic consideration. What is your interpretation of these ultrasound findings, and what would be your most likely diagnosis? I would appreciate the opinions of radiologists, sonologists, gynecologists, and colleagues from related specialties. Please share your diagnosis and differential diagnosis in the comments. Let’s discuss this interesting case and learn from each other.
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#ultrasound #sonographer #medico #radiologystudent #medtok
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A 27 cc ovary was measured, described, and then called normal… yup, this happens ALL THE TIME!

Nothing in that report was factually false. The uterus was anteverted. The volume was stated. The follicles were seen. But the interpretation was incorrect - the patient left with “ovaries within normal limits”, which was not actually the case, and no next step.

Swipe and compare. Same ovary, two reports. One states a volume and never interprets it, reaches for “multiple subcentimeter follicles,” and closes the case. The other counts the follicles, describes the peripheral distribution and increased stroma, names polyfollicular ovarian morphology, flags it as a recognised risk factor for the endometrial polyp sitting in the same cavity, and stops short of diagnosing PMOS (polyendocrine metabolic ovarian syndrome) until the clinical and biochemical picture is in.

One report ends the conversation. The other starts the right one.

If your symptoms persist after a “normal” scan, that result is not always your answer. Sometimes it is the limit of who scanned you and how they wrote it up.

Quality in imaging is not a luxury. It changes care.

Illustrative changes to case to avoid real patient identification. That said, this happens literally all the time so it would be hard to identify since this situation is not a unique one!

#PMOS #GynecologicUltrasound #PelvicUltrasound #UltrasoundReporting #OvarianHealth
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Stop using "uterine AVM." Most cases aren’t true arteriovenous malformations. 

A genuine AVM is congenital, with a direct artery-to-vein connection present before pregnancy—it’s rare and doesn’t resolve spontaneously. It doesn't develop six weeks post-miscarriage.

What you often see after pregnancy is enhanced myometrial vascularity: dilated, tortuous vessels at the placental bed that haven't involuted—usually alongside retained tissue.

This distinction matters. "AVM" on a report rushes to interventional radiology, risking unnecessary embolization and fertility implications for patients who might not need it.

Here's how to report:

→ Call it what it is. UOG 2024: Let’s stop misusing “arteriovenous malformation.” After miscarriage or delivery, it's EMV (enhanced myometrial vascularity) indicating retained tissue.
→ Use history as your guide. EMV arises from pregnancies; true AVMs do not require one. Consider gestational trophoblastic disease, caesarean scar pregnancy, placenta accreta spectrum, and check hCG levels.
→ Map instead of naming: note intracavitary tissue location, color mosaic with flow reversal, depth of the vascular bundle in the myometrium, distance to serosa, any thinning.
→ A high peak systolic velocity isn't an indication for embolization. Literature doesn't support PSV predicting heavy blood loss—remove or resorb the retained tissue to resolve EMV regardless of initial PSV.

If treatment's needed, focus on the tissue with accurate mapping and guidance in centers equipped for bleeding management—avoid blind curettage.

Name findings accurately—not based on rarity.

Save this info ahead of your next post-pregnancy scan! Share with sonography/radiology/gynecology teams. Is your unit still labeling them as AVM?

#EMV #enhancedmyometrialvascularity #AVM #retainedproductsofconception #RPOC
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