0:00

Dr. Finazzo, in my own simplistic naive way,

0:04

I'm looking at this ultrasound of the

0:05

pelvis and I see almost a uniform,

0:08

echogenic mass. No fluid fluid levels.

0:11

No levels of fluid and sebum.

0:15

So I would probably say this is a dermoid and some,

0:18

some other things you might consider would be increased

0:21

echogenicity from an acute hemorrhagic cyst.

0:23

You might also consider something like

0:25

a metastatic lesion that's highly echogenic.

0:29

So,

0:30

What's a mother to do with this lesion?

0:31

And what's going on here on the right?

0:33

[Dr. Finazzo] So this is a classic.

0:36

as you mentioned, echogenic focus by default.

0:38

We would say, oh, this looks like a dermoid. Case closed.

0:41

But as we mentioned earlier, color is your friend.

0:44

Anytime we see a lesion in an ovary,

0:46

we need to put color and this is very strong color.

0:49

Dermoid or, for that matter, when we were talking about mature

0:52

cystic teratomas,

0:54

they should never have blood flow.

0:55

So whenever you have blood flow within an echogenic

0:59

lesion, you have to think of something else.

1:01

And in this case it was a mature, ah,

1:02

stroma ovary.

1:03

[Dr. P] So a thyroid origin type ovarian lesion

1:07

and the other things that are excluded

1:09

with color are a cyst and a hemorrhagic cyst,

1:12

besides an endometrioma. So color is invaluable.

1:15

In this case, demonstrates it. Pomeranz and Finazzo out.