Ultrasound templates - TVS Routine Gynecological

📝 TVS TEMPLATES

🧾 TVS – Routine Gynecological

🧾 TVS – Infertility Evaluation

🧾 TVS – Follicular Monitoring

🧾 TVS – Early Pregnancy

🧾 TVS – Second Trimester

🧾 TVS – Third Trimester

🧾 TVS – Suspected Ectopic Pregnancy

🧾 TVS – Postmenopausal Bleeding

🧾 TVS – Color & Spectral Doppler

─── 🧾 TVS – Routine Gynecological ───

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NORMAL FINDINGS

📄 Normal study

📄 RPOC/Incomplete miscarriage

📄 Fibroid rt ovarian endometriosis

📄 GS normal with Rt Corpus Luteum & Iliac Lymphadenitis

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ULTRASOUND FINDINGS IN TVS ROUTNE EXAMINATION

UTERUS

[Normal physiological ]

Normal uterus
Normal myometrium
Normal endometrium (cyclical variations)
Secretory phase endometrium
Proliferative phase endometrium
Postmenopausal uterus
Postpartum involutional uterus
Retroverted uterus (normal variant)
Anteverted uterus (normal variant)
Post-hysterectomy residual cervical stump

[Diffuse Myometrial Diseases ]

Diffuse uterine enlargement (nonspecific)
Adenomyosis (diffuse)
Focal adenomyosis (adenomyoma)
Cystic adenomyosis
Endometriosis with myometrial involvement
Myometrial hypertrophy
Fibromyomatous change
Fibrosis post-infection
Chronic nonspecific myometritis
Postpartum myometrial edema
Myometrial calcification
Myometrial fatty change
Radiation-induced myometrial fibrosis
Autoimmune myometritis
Metastatic infiltration of myometrium
Infiltrative trophoblastic disease
Vascular congestion (pelvic venous insufficiency)
Post-surgical diffuse myometrial scarring
Endocrine-related myometrial thickening
Diabetic myometrial changes

[Focal benign myometrial lesions]

Leiomyoma – submucosal
Leiomyoma – submucosal
Leiomyoma – subserosal
Pedunculated fibroid
Calcified fibroid
Cystic degenerated fibroid
Red (carneous) degenerated fibroid
Hyaline degeneration in fibroid
Myxoid degeneration in fibroid
Fibroid with cystic changes
Fibroid with necrosis
Lipoleiomyoma
Adenomyoma
Fibroid with parasitic attachment
Post-embolization fibroid necrosis
Post-myomectomy residual fibroid
Cervical fibroid
Broad ligament fibroid
Focal adenomyotic nodule
Endometrial polyp with myometrial extension
Focal hematoma mimicking fibroid
Infarcted fibroid
Intraligamentary fibroid
Fibroid with sarcomatous degeneration
Fibroid with torsion

[Endometrial pathologies]

Endometrial hyperplasia – simple
Endometrial hyperplasia – complex
Endometrial polyp
Endometrial cystic change
Endometrial calcification
Endometrial synechiae (Asherman’s syndrome)
Endometrial atrophy (postmenopausal)
Endometrial stromal edema
Endometrial cystic atrophy
Endometrial hematoma
Endometrial abscess
Endometrial tuberculosis
Endometrial fibrosis (post-D&C)
Postpartum endometritis
Post-abortion retained products
Subinvolution of placental site
Endometrial carcinoma
Endometrial sarcoma
Endometrial metastases
Endometrial hyperemia (inflammation)
Polypoid endometrial thickening
Endometrial necrosis (ischemic)
Endometrial cystic degeneration
Endometrial pseudocyst
Hormonal endometrial change
Tamoxifen-induced endometrial change
Post-IUD endometrial changes
Endometrial fluid collection
Endometrial sloughing (menstrual phase)
Endometrial regeneration (early proliferative phase)
Postmenopausal bleeding cause – benign thickening
Endometrial carcinoma with myometrial invasion
Endometrial stromal nodule
Endometrial polyp with cystic degeneration
Mixed endometrial lesion (polyp + hyperplasia)

[Congenital and developmental anomalies ]

Uterine agenesis
Unicornuate uterus
Bicornuate uterus
Didelphys uterus
Septate uterus (complete/incomplete)
Arcuate uterus
Hypoplastic uterus
T-shaped uterus (DES exposure)
Cervical duplication
Uterine horn remnant
Müllerian duct anomaly – unspecified
Rudimentary horn with pregnancy
Uterine duplication with single cervix
Transverse vaginal septum with uterine anomaly
Hemi-uterus
Agenesis of cervix
Accessory uterine cavity
Uterine fusion anomaly
Partial uterine septum
Associated renal agenesis (MURCS association)
Non-fused Müllerian duct anomaly
Uterine diverticulum
Congenital uterine AV malformation
Uterine duplication with double vagina
Uterine malposition with congenital cause

[Infective and inflammatory]

Acute endometritis
Chronic endometritis
Pelvic inflammatory disease (PID)
Salpingitis with tubo-ovarian abscess
Endometrial tuberculosis
Actinomycosis of endometrium
Post-abortal infection / retained products with infection
Postpartum endometritis with myometritis
Septic deep myometritis
Parametritis
Peri-uterine abscess
Fungal endometritis (Candida)
Viral endometritis (CMV/HSV)
Foreign-body granulomatous reaction (IUD related)
Localized uterine abscess
Infective myometrial abscess
Cholangio-uterine inflammatory extension
Chronic pelvic inflammatory scarring
Actinomyces-associated pelvic inflammation
Reactive endometrial hyperemia
Granulomatous myometritis
Post-instrumentation inflammatory change
Chronic cervicitis with endometrial extension
Bacterial vaginosis–associated uterine reaction
Endometritis with intracavitary fluid/echogenic debris

[Vascular perfusion and hemorrhagic]

Uterine artery aneurysm
Congenital uterine AV malformation (AVM)
Congenital uterine AV malformation (AVM)
Acquired uterine AVM (post-procedural)
Intramural hematoma
Subserosal hematoma
Retained products with active vascularity
Trophoblastic vascular invasion (invasive mole)
Uterine torsion with vascular compromise
Uterine infarction (postpartum or ischemic)
Placental site vessel malformation
Massive hemorrhage with uterine perfusion changes
Uterine venous plexus dilatation (pelvic congestion)
Segmental uterine hypoperfusion
Hyperemic endometrium (inflammatory/vascular)
Post-procedural uterine arterial bleed
Coagulopathy-related uterine hematoma
Hemoperitoneum secondary to uterine rupture

[Gestational and pregnancy-related ]

Ectopic pregnancy (tubal) with uterine reaction
Cesarean scar pregnancy
Molar pregnancy (hydatidiform mole)
Molar pregnancy (hydatidiform mole)
Heterotopic pregnancy
Heterotopic pregnancy
Subchorionic hemorrhage in early pregnancy
Placenta accreta spectrum (accreta/increta/percreta)
Uterine rupture in pregnancy
Uterine dehiscence post-cesarean
Uterine dehiscence post-cesarean
Uterine inversion (postpartum)
Uterine inversion (postpartum)
Choriocarcinoma involving myometrium
Intrauterine fetal demise with retained products
Gestational trophoblastic hemorrhagic degeneration
Monochorionic twin complications affecting uterus
Molar pregnancy with theca-lutein ovarian change
Ectopic pregnancy implant in cesarean scar
Pregnancy-related vascular malformations
Uterine arteriovenous fistula after delivery

[Malignant and premalignant ]

Endometrial carcinoma (Type I – Endometrioid)
Endometrial carcinoma (Type II – Serous / Clear cell)
Endometrial intraepithelial neoplasia (EIN)
Endometrial stromal sarcoma
Uterine leiomyosarcoma
Carcinosarcoma (malignant mixed Müllerian tumor)
Adenosarcoma of uterus
Undifferentiated uterine sarcoma
Endometrial hyperplasia with atypia (premalignant)
Cervical carcinoma with uterine extension
Metastatic disease to uterus (breast, melanoma, GI)
Gestational trophoblastic neoplasia (invasive)
Uterine serosal surface malignancy
Primary uterine lymphoma
Peritoneal carcinomatosis with uterine invasion
Neuroendocrine tumor involving endometrium
Mesenchymal tumors with malignant potential
Carcinoma of lower uterine segment
Vulvar/vaginal carcinoma secondarily involving uterus
Leiomyoma with sarcomatous degeneration
Persistent atypical polypoid adenomyoma
Endometrial carcinoma with deep myometrial invasion
Uterine papillary serous carcinoma
Metastatic trophoblastic tumor

[Traumatic, post-surgical and iatrogenic ]

Uterine laceration/rupture
Postoperative uterine hematoma
Post-myomectomy fluid collection/hematoma
Post-hysterectomy pelvic collection
Post-dilation and curettage (D&C) cavity changes
Iatrogenic uterine perforation
Post-embolization uterine necrosis/changes
Post-ablation scar (endometrial / myometrial)
Surgical clip/foreign-body artifact
Post-laparoscopic trocar injury to uterus
Retained surgical sponge granuloma
Post-cesarean scar niche / isthmocele
Post-uterine artery embolization (UAE) change
IUD malposition with uterine wall erosion
Post-radiation uterine fibrosis
Post-procedural pseudoaneurysm
Post-biopsy intramural hematoma
Adhesive bands causing uterine distortion
Post-procedural infection/abscess
Scarring with cavity obliteration (Asherman variant)

[Systemic and endocrine-related ]

Polycystic ovary syndrome–related uterine change
Endocrine hyperplasia (unopposed estrogen)
Tamoxifen-related endometrial change
Diabetic uterine changes
Thyroid disease associated uterine findings
Cushingoid steroid-related endometrial change
Autoimmune endometritis (SLE, other connective tissue)
Granulomatous disease with uterine involvement
Hematologic disorder–related bleeding/hematoma
Coagulopathy-associated uterine hemorrhage
Systemic amyloidosis with uterine deposition
Liver disease–related bleeding / gynecologic effect
Adrenal hyperplasia effect on endometrium
Hyperprolactinemia-related endometrial change
Ovarian hyperstimulation syndrome effect on uterus
Drug-induced endometrial atrophy or hyperplasia
Metabolic syndrome–related endometrial thickening
Hematologic malignancy affecting uterus
Endocrine paraneoplastic uterine effects
Idiopathic non-gynecologic systemic uterine response

[Extrauterine and secondary (ec) causes ]

Pelvic endometriosis involving uterine serosa
Adnexal mass compressing uterus (ovarian cyst/tumor)
Large fibroid uterus compressing adnexa
Peritoneal carcinomatosis with uterine involvement
Pelvic lymphadenopathy causing uterine displacement
Rectovaginal / vesicouterine fistula effects on uterus
Retroperitoneal fibrosis with secondary uterine displacement
Urinary bladder tumor invading anterior uterine wall
Pelvic abscess causing secondary uterine inflammation
Ileal / sigmoid tumor adherent to uterus
Appendicular mass with secondary uterine change
Hydronephrosis causing mass effect on uterus
Pelvic lipomatosis compressing uterine contour
Diaphragmatic hernia with thoracoabdominal shift (rare)
Abdominal aortic aneurysm mass effect on uterus
Large uterine fibroid with secondary ovarian torsion
Pelvic venous congestion from pelvic varices
External compression by pregnancy-related adnexal masses
Secondary uterine involvement from tuberculosis elsewhere
Metastatic nodal disease at porta of pelvis causing compression

OVARY

[Normal and physiological ]

Normal ovary follicular phase
Normal ovary luteal phase
Dominant follicle
Corpus luteum normal
Corpus luteum with central clot
Corpus luteum with ring of fire Doppler sign
Corpus luteal cyst
Simple follicular cyst
Multiple follicles physiologic
Prepubertal ovary normal small follicles
Postmenopausal ovary atrophic
Postpartum ovary
Polycystic ovary functional appearance
Periovulatory follicle rupture Mittelschmerz
Luteal cyst with peripheral hyperemia

[Functional and benign cystic lesions ]

Simple ovarian cyst
Functional cyst unspecified
Follicular cyst persistent
Corpus luteal cyst hemorrhagic
Theca lutein cyst
Luteinized unruptured follicle
Hyperreactio luteinalis
Early Hemorrhagic cyst
Endometriotic cyst- endometrioma
Endometrioma with ground-glass echoes
Ruptured endometrioma fluid with debris
Paraovarian cyst
Paratubal cyst
Cyst of Morgagni fimbrial cyst
Broad ligament cyst
Multiloculated simple cyst
Giant simple cyst
Peritoneal inclusion cyst
Hydrosalpinx mimicking ovarian cyst

[Complex cystic lesions ]

Hemorrhagic cyst late stage
Endometrioma chronic
HOC Fishnet weave or fine reticular pattern
HOC retracting clot stage
HOC fluid debris level
HOC Rupture
Dermoid cyst mature cystic teratoma
Dermoid with echogenic nodule Rokitansky protuberance
Dermoid with fat fluid level
Dermoid with calcified tooth like echoes
Cystadenoma serous unilocular
Cystadenoma mucinous multiloculated
Borderline serous / mucinous tumor
Benign Brenner tumor mixed solid cystic
Dermoid with rupture chemical peritonitis
Corpus luteum cyst with hemorrhage
Ovarian abscess pyocystic ovary

[Solid benign ovarian lesions ]

Fibroma
Thecoma
Fibrothecoma
Brenner tumor solid form
Lipoma ovarian
Ovarian stromal hyperthecosis
Luteoma of pregnancy
Massive ovarian edema
Ovarian fibromatosis
Sclerosing stromal tumor
Granulosa cell tumor benign
Sertoli Leydig cell tumor low grade
Steroid cell tumor benign
Ovarian adenofibroma
Ovarian cystadenofibroma solid
Ovarian leiomyoma
Paraganglioma rare
Benign teratoid mass

[Malignant ovarian neoplasms ]

Serous cystadenocarcinoma
Mucinous cystadenocarcinoma
Endometrioid carcinoma
Clear cell carcinoma
Transitional cell carcinoma malignant Brenner
Mixed epithelial carcinoma
Borderline epithelial tumor intermediate potential
Granulosa cell tumor adult type
Juvenile granulosa cell tumor
Sertoli Leydig cell carcinoma
Dysgerminoma
Krukenberg tumor gastric metastasis
Ovarian carcinoma with peritoneal spread
Recurrent ovarian carcinoma post-surgery
Undifferentiated carcinoma
Ovarian carcinosarcoma
Embryonal carcinoma
Teratocarcinoma malignant teratoma
Gonadoblastoma
Secondary metastatic ovarian carcinoma
Pancreatic metastasis
Uterine carcinoma metastasis
Leukemic infiltration
Sarcomatous ovarian tumor
Melanoma metastasis
Radiation-induced ovarian neoplasm
Borderline tumor with invasive foci
Mixed germ cell stromal tumor
Ovarian papillary carcinoma serous
Mucinous borderline tumor with microinvasion

[Inflammatory and infective ]

Oophoritis acute
Oophoritis chronic
Tubo-ovarian abscess TOA
Pyosalpinx with ovarian involvement
Hydrosalpinx with ovarian adhesion
Pelvic inflammatory disease PID ovarian phase
Ovarian abscess
Chronic salpingo-oophoritis
Postpartum ovarian infection
Post-abortal ovarian abscess
Tubercular oophoritis
Actinomycotic infection
Fungal infection Candida
Viral oophoritis mumps
Ovarian necrosis due to infection
Ovarian phlegmon

[Hemorrhagic, vascular and torsion ]

Ovarian torsion partial
Ovarian torsion complete
Ovarian torsion with hemorrhage
Ovarian infarction post-torsion
Ovarian venous thrombosis
Ovarian artery thrombosis
Ruptured ovarian cyst hemoperitoneum
Luteal cyst rupture
Hemorrhagic cyst rupture
Endometrioma rupture
Torsion of dermoid cyst
Torsion with gangrene
Pelvic congestion syndrome
Ovarian varices
Arteriovenous malformation rare
Ovarian hematoma post-trauma

[Congenital and developmental ]

Accessory ovary
Supernumerary ovary
Ectopic ovary pelvic wall
Ovarian remnant syndrome
Ovarian agenesis unilateral
Ovarian hypoplasia
Gonadal dysgenesis Turners
Streak gonad
Mixed gonadal dysgenesis
Ovotestis intersex gonad
Ovarian herniation into inguinal canal
Polycystic ovarian morphology developmental variant
Ovarian inclusion cyst embryologic remnant
Heterotopic ovarian tissue accessory tissue
Ovarian duplication
Embryonic ovarian cyst neonatal
Neonatal hemorrhagic cyst

[Endocrine and functional disorders ]

Polycystic ovarian syndrome (Classic)
PCOS lean type
PCOS obese type
Ovarian hyperthecosis
Stromal hyperplasia
Luteoma of pregnancy
Hyperreactio luteinalis
Ovarian hyperstimulation syndrome (OHSS)
Theca lutein cysts multiple
Hypothyroid related cystic changes
Hyperthyroid-related stromal edema
Cushings syndrome ovarian cysts
Androgen secreting tumor
Estrogen secreting tumor
Stromal luteoma
Pregnancy luteoma
Luteal insufficiency pattern
Resistant ovary syndrome
Postmenopausal ovarian cyst hormonal
Menopausal ovarian fibrotic change

[Traumatic, post-surgical and iatrogenic ]

Post oophorectomy remnant cyst
Ovarian remnant syndrome post-surgery
Post laparoscopy ovarian hematoma
Post-oocyte retrieval hematoma
Post IVF hyperstimulation OHSS severe
Post embolization ovarian necrosis
Post radiation fibrosis
Post chemotherapy cystic change
Post drainage residual cavity
Ovarian biopsy hematoma
Post cystectomy recurrence
Ovarian scar endometriosis
Adhesion-related fixation
Post ovarian torsion residual mass
Post hysterectomy residual cyst
Post pelvic surgery adhesion syndrome
Iatrogenic ovarian injury
Post ligation trophic cyst
Post oophoropexy ischemic change
Port site ovarian herniation

[Systemic, secondary and metastatic ]

Krukenberg tumor gastric
Breast carcinoma metastasis
Colon carcinoma metastasis
Pancreatic carcinoma metastasis
Endometrial carcinoma extension
Cervical carcinoma extension
Lymphoma secondary
Leukemia infiltration
Melanoma metastasis
Lung carcinoma metastasis
Pseudomyxoma peritonei ovarian involvement
Peritoneal carcinomatosis (secondary ovarian seeding)
Appendiceal carcinoma metastasis
Retroperitoneal sarcoma invasion
Bladder carcinoma invasion
Renal cell carcinoma metastasis
Pelvic fibrosarcoma secondary infiltration
Ovarian metastasis from biliary tract carcinoma
Gastric linitis plastica secondary
Adrenal carcinoma metastasis

[Extraovarian and secondary (ec) causes ]

Pelvic abscess compressing ovary
Tubo ovarian complex TOC
Peritoneal inclusion cyst trapping ovary
Endometriotic adhesion fixing ovary
Bowel loop mimicking ovarian cyst
Appendiceal abscess adherent to ovary
Uterine fibroid compressing ovary
Broad ligament mass displacing ovary
Paraovarian adhesion (PID sequela)
Pelvic congestion with ovarian mimic vessels

ADNEXA

[ Normal and physiological ]

Normal adnexa (clear space, no mass)
Normal fallopian tubes (not visualized)
Physiologic follicular activity (adjacent ovarian follicles)
Ovulatory changes (peri-ovulatory follicle rupture)
Small physiologic fluid in pouch of Douglas
Corpus luteum with peri-adnexal flow
Normal post-ovulatory pelvic fluid
Postpartum adnexa (normal involution)
Postmenopausal adnexa (atrophic structures)
Post-hysterectomy adnexal region (normal appearance)

[ Tubal (fallopian tube) lesions ]

Acute salpingitis
Chronic salpingitis
Pyosalpinx
Hydrosalpinx
Hematosalpinx
Tubo-ovarian abscess (TOA)
Tubo-ovarian complex (incomplete TOA)
Chronic tubo-ovarian mass
Pyosalpinx with septations
Hydrosalpinx with cogwheel sign
Tubal ectopic pregnancy (live)
Tubal ectopic (nonviable)
Interstitial (cornual) ectopic pregnancy
Isthmic ectopic pregnancy
Ampullary ectopic pregnancy
Fimbrial ectopic pregnancy
Tubal rupture with hemoperitoneum
Chronic ectopic with pseudomass
Tubal torsion
Tubal tumor (primary adenocarcinoma)
Metastatic tubal carcinoma
Tuberculous salpingitis
Parasitic (schistosomal) salpingitis
Post-surgical tubal stump cyst
Tubal remnant post-sterilization (hydrosalpinx)

[ Paraovarian and paratubal cysts ]

Simple paraovarian cyst
Multiloculated paraovarian cyst
Paraovarian cyst with hemorrhage
Paraovarian cyst with torsion
Paratubal cyst
Fimbrial cyst (of Morgagni)
Mesothelial inclusion cyst
Wolffian duct cyst (Gartner’s)
Broad ligament cyst
Hydatid cyst of Morgagni
Infected paraovarian cyst
Cyst with mural nodule (rare)
Endometriotic paraovarian cyst
Post-inflammatory inclusion cyst
Giant paraovarian cyst

[ Adnexal masses — benign ]

Endometrioma (in adnexa)
Hemorrhagic cyst (adnexal location)
Tubo-ovarian complex (resolving)
Dermoid cyst (adnexal)
Mature cystic teratoma
Paratubal benign tumor (adenofibroma)
Leiomyoma arising from broad ligament
Lipoleiomyoma (broad ligament)
Fibroma of broad ligament
Fibrothecoma (adnexal region)
Sclerosing stromal tumor (adnexal)
Pedunculated subserous fibroid (appearing adnexal)
Ovarian remnant with cystic change
Benign Brenner tumor (parovarian origin)
Serous cystadenoma (paraovarian extension)
Mucinous cystadenoma (paraovarian extension)
Benign hydatid cyst (parasitic)
Inflammatory pseudotumor (adnexal)
Mesenteric cyst mimicking adnexal mass
Benign mixed epithelial tumor

[ Malignant and neoplastic adnexal masses ]

Serous cystadenocarcinoma (adnexal mass)
Mucinous cystadenocarcinoma (adnexal)
Endometrioid carcinoma involving adnexa
Clear cell carcinoma (extension to adnexa)
Borderline serous tumor (adnexal cystic-solid)
Borderline mucinous tumor
Krukenberg tumor (bilateral adnexal metastases)
Secondary metastasis (colon, stomach, breast)
Lymphoma (adnexal involvement)
Leukemia (secondary)
Sarcoma of broad ligament
Carcinosarcoma (extension into adnexa)
Primary peritoneal carcinoma (adnexal mass)
Ovarian carcinoma with peritoneal spread (adnexal implant)
Pseudomyxoma peritonei with adnexal deposits
Endometrial carcinoma with adnexal spread
Cervical carcinoma with adnexal extension
Metastatic melanoma (adnexal)
Malignant germ cell tumor (adnexal component)
Granulosa cell tumor (adnexal origin)
Sertoli–Leydig cell tumor (adnexal)
Mixed epithelial–stromal tumor
Undifferentiated carcinoma
Post-radiation sarcomatous change
Recurrent malignant adnexal mass

[ Infective and inflammatory ]

Pelvic inflammatory disease (PID)
Salpingitis (acute/chronic)
Tubo-ovarian abscess
Pelvi-peritonitis (with adnexal phlegmon)
Endometriosis (adnexal implants)
Omental–adnexal adhesions
Peri-adnexal fluid collection
Pyosalpinx
Infected endometrioma
Post-abortal adnexal abscess
Postpartum adnexal abscess
Post-surgical adnexal infection
Tubercular salpingo-oophoritis
Actinomycotic abscess
Chlamydial adnexitis
Gonococcal adnexitis
Mixed bacterial infection (PID with abscess)
Ovarian–tubal phlegmon
Chronic adnexal fibrosis / scarring
Adhesive disease (post PID)
Pelvic abscess compressing adnexa
Endometriotic adhesion complex
Peri-tubal inflammation (hydrosalpinx sequela)
Necrotizing adnexitis (rare)
Chronic post-tubercular adhesion complex

[ Vascular and torsion ]

Ovarian torsion
Paraovarian torsion
Tubal torsion
Broad ligament torsion
Ovarian vein thrombosis
Pelvic congestion syndrome (peri-adnexal varices)
Arteriovenous malformation (adnexal region)
Pelvic venous aneurysm
Hemorrhagic adnexal cyst rupture
Post-torsion infarction
Post-embolization necrosis
Ischemic adnexal mass
Ovarian hyperstimulation syndrome (adnexal congestion)
Hypervascular adnexal tumor
Peri-adnexal hematoma (traumatic or spontaneous)

[ Traumatic, post-surgical and iatrogenic ]

Post-tubal ligation hydrosalpinx
Tubal stump cyst
Ovarian remnant syndrome (after oophorectomy)
Post-hysterectomy adnexal mass (residual ovary or adhesions)
Post-cesarean adnexal hematoma
Post-oocyte retrieval hematoma
Post-IVF hyperstimulation (OHSS adnexal congestion)
Post-pelvic surgery adhesion complex
Post-endometriotic cyst drainage residual cavity
Post-laparoscopic trocar-site adnexal herniation
Iatrogenic tubo-ovarian fistula
Post-radiation adnexal fibrosis
Post-embolization adnexal necrosis
Post-biopsy hemorrhage
Post-abscess drainage tract
Post-ectopic surgery residual cyst
Surgical clip granuloma in adnexa
Post-surgical tubo-uterine stump infection
Post-adhesiolysis seroma
Pelvic foreign body mimicking adnexal mass

[ Congenital and developmental ]

Congenital hydrosalpinx
Paramesonephric (Müllerian) duct cyst
Wolffian duct remnant cyst
Paratubal cyst (congenital)
Mesonephric duct remnant in broad ligament
Accessory ovary (ectopic)
Supernumerary adnexa
Duplicated fallopian tube
Unicornuate uterus with contralateral adnexal remnant
Adnexal herniation into inguinal canal (canal of Nuck)
Persistent embryonic ligament cyst
Müllerian remnant with cystic change
Fused tubo-ovarian complex (developmental)
Rudimentary uterine horn attached to adnexa
Tubal atresia
Hypoplastic ovary–tube complex
Heterotopic ovarian tissue in broad ligament
Accessory adnexal vascular channel
Ectopic adnexa (mesenteric location)
Developmental pelvic cyst (indeterminate origin)

[ Systemic and secondary ]

Endometriosis (systemic pelvic involvement)
Peritoneal carcinomatosis with adnexal deposits
Tuberculosis (pelvic TB with adnexal scarring)
Secondary metastasis from gastrointestinal tract
Secondary lymphoma
Leukemic infiltration
Pelvic inflammatory mass (secondary)
Adnexal edema (systemic heart failure)
Post-radiation pelvic fibrosis (secondary adnexal fixation)
Amyloidosis (adnexal involvement, rare)

[ Extra-adnexal and secondary (EC) causes ]

Uterine fibroid compressing adnexa
Ovarian tumor extending into adnexa
Cervical carcinoma invading broad ligament
Rectosigmoid carcinoma invading adnexa
Appendiceal abscess involving right adnexa
Pelvic abscess (non-gynecologic origin) compressing adnexa
Diverticulitis with adnexal inflammatory reaction
Peritoneal inclusion cyst encasing adnexa
Post-radiation pelvic adhesions tethering adnexa
Ureteral duplication cyst mimicking adnexal mass

[ Peritoneal, ligamentous, and miscellaneous ]

Broad ligament fibroid
Broad ligament cyst
Broad ligament leiomyosarcoma
Round ligament cyst
Round ligament varices (pregnancy-related)
Round ligament fibroma
Round ligament endometriosis
Mesenteric cyst (paraligamentous)
Omental cyst near adnexa
Peritoneal inclusion cyst
Pseudomyxoma peritonei with adnexal trapping
Pelvic adhesions (ligamentous)
Post-surgical peritoneal reaction
Pelvic sidewall fibrosis involving adnexa
Ligamentous vascular malformation

[ Rare complex and multisystem ]

Adnexal metastasis from renal cell carcinoma
Adnexal metastasis from gallbladder carcinoma
Adnexal invasion from colon carcinoma
Adnexal extension of peritoneal mesothelioma
Adnexal abscess from appendicitis
Endometriosis with chocolate cyst adherent to adnexa
Tubercular abscess with calcified adnexa
Parasitic cyst (Echinococcosis in adnexal area)
Pelvic actinomycosis with adnexal fistula
Pelvic hydatid cyst involving adnexa
Broad ligament hydatid cyst
Post-surgical pseudocyst (encysted collection)
Chronic ectopic with organized clot
Chronic adhesive adnexal mass (post-PID)
Encysted peritoneal fluid collection around adnexa
Lymphocele (post-surgical, adnexal location)
Seroma (post-surgery)
Chronic hematocele mimicking adnexal mass
Peritoneal tuberculosis pseudotumor
Pelvic endosalpingiosis (rare epithelial inclusion)

[00 ]

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Content is intended for educational, training, and clinical reference only.

Declaration:
I, R. K. Mouj, declare that the material presented in this Transvaginal Ultrasound (TVS) report template has been prepared solely for educational and academic purposes. All measurements, descriptions, and example findings provided are illustrative in nature. Clinical correlation, relevant laboratory investigations, follow-up imaging, and professional clinical judgment are essential before making any diagnostic or management decisions. ⬆ Back to Top

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