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-
Ovarian Cyst #�s MENSTRUATING simple (neg, f/u, remove)
- Simple Cyst < 3cm = Negative
- Simple Cyst 3-6 cm = Follow-Up
- Simple Cyst > 6cm = Consider Removal
-
Ovarian Cyst #�s MENSTRUATING hemorrhagic (neg, f/u, remove, one more)
- Hemorrhagic Cyst < 2.5 cm = Negative
- Hemorrhagic Cyst 2.5-6cm = Follow-Up
- Hemorrhagic Cyst > 6cm = Removal
- Contains Soft Tissue Component = Removal
-
Ovarian Cyst #�s POST-MENOPAUSAL (benign, f/u, remove, one more)
- Simple Cyst < 1.6 cm = Benign
- Simple Cyst 1.6-5cm = Follow-Up
- Simple Cyst > 5cm = Removal
- Any Complex Cyst = Removal
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Multiple Simple Ovarian Cysts
- Torsion (Small and Peripheral)
- Polycystic Ovaries (Small and Peripheral)
- Theca Lutein Cysts From Hyperstimulation Drugs (Pergonal)
- Theca Lutein Cysts associated with Gestational Trophoblastic Dz
-
Complex Cystic Adenexal Mass
- CHEETAH
- Cystadenoma/ Cystadenocarcinoma (Serous more likely Malignant and Bilateral than Mucinous)
- Hemorrhagic Cyst
- Endometrioma
- Ectopic Pregnancy
- Teratoma/ Torsion
- Abscess (Tubo-ovarian, Appendiceal)
- Hydrosalpinx/ Pyosalpinx (PID)
-
Heterogeneous Liver
- Cirrhosis
- Fatty Infiltration
- Mets (Breast)
- Infiltrative HCC
- Hepatic Fibrosis
- Lymphoma
- Heart Failure
- Budd-Chiari
-
Hyperechoic Liver Lesions
- Hemangioma (Enhanced Through Transmission)
- Hyperechoic Mets
- HCC (may have steatosis)
- Focal Fat
- Angiomyolipoma
-
NO MASS
Air in Biliary Tree or Portal Vein (Characteristic Sound on Doppler)
-
Hypoechoic Liver Lesions
- Mets
- Lymphoma
- HCC/ Regenerating Nodule
- Hematoma
- Pyogenic Abscess
- Amebic Abscess
- Echinococcus
-
Gallbladder Wall Thickening
- Cholecystitis
- Adenomyomatosis (�Comet-Tail� Reverberation Artifact,DDx is Emphysematous Cholecystitis- Confirm Air By CT or PF)
- Hepatitis
- Ascites
- Hypoalbuminemia
- CHF
- AIDS
- Diffuse Mets
- Kawasaki�s Dz
-
Gallbladder Mass
- Carcinoma
- Mets (melanoma)
- Lymphoma
- Focal Cholecystitis
- Polyp (See Below)
-
Gallbladder Polyp #�s (size/character - benign, benign, f/u, ectomy)
- < 5mm and Single = Benign
- < 10mm and Multiple = Benign
- 5-10mm and Single = Follow-Up
- > 10mm = Cholecystectomy
-
Intratesticular Mass SOLID
- Malignant Tumor (Seminoma, Non-seminomatous GCT)
- Mets (Leukemia/ Lymphoma, esp. after chemo)
- Benign Tumor (Leydig, Sertoli)
- Infection/ Abscess
- Infarct with Torsion
- Hematoma after Trauma
- Sarcoid
- TB
-
Intratesticular Mass CYSTIC
- Intratesticular Cyst
- Tubular Ectasia of the Rete Testes
- Benign Epidermoid Tumor (Echogenic Capsule, �Onion Skin�)
-
Intratesticular Calcifications
- Testicular Microlithiasis (Routine Screening For Tumor)
- Burned Out Germ Cell Tumor
- Granulomatous Dz
- Post Trauma, Infection
-
Extratesticular Mass
- Spermatocele
- Epididymal Cyst
- Varicocele (Vessel Diameter > 3mm)
- Hernia
- Cord Tumor (Adenomatoid Tumor, Sarcoma)
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