Computed tomographic and magnetic resonance features of gynecologic abnormalities in women presenting with acute or chronic abdominal pain.

摘要: Abstract: Advances in technology and improved availability have led to increased use of computed tomography (CT) magnetic resonance imaging (MRI) evaluate women presenting the emergency department or their primary care provider with abdominal and/or pelvic pain. Computed tomographic examinations are often performed presence appendicitis renal stone disease. However, gynecologic abnormalities frequently identified on these examinations. Although ultrasound remains modality by which complaints specific pelvis evaluated, many instances, CT MRI occurs before sonographic evaluation. Historically, because cost, radiation exposure, relative ease use, preceded all other modalities when evaluating disorders. as improved, diagnosing causes pain has become equal that ultrasound. In some cases, primarily historic comfort evaluation, originally diagnosed may be immediately unnecessarily reevaluated For a woman her reproductive years, most common adnexal masses physiological cysts, endometriomas, cystic teratomas. lesions asymptomatic incidentally detected, they can present pain, increase risk ovarian torsion. Common chronic this population include leiomyomata adenomyosis. postmenopausal women, carcinoma, does not clinically until late stage, included differential diagnosis masses. If pathology is discovered MRI, an immediate follow-up need pursued if lesion characterized benign, needing surgical intervention, variant normal anatomy. If, hand, findings demonstrate mass either uncharacteristic benign lesion, indeterminate for malignancy, demonstrates suspicious characteristics malignancy (such enhancing mural nodules), further evaluation serial ultrasound, biochemical marker, warranted. The purpose review series commonly encountered MR make radiologists more familiar MRI.