Interactive Transcript
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This is a contrast-enhanced
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CT of the female pelvis.
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And let's review some of that normal
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anatomy that we just talked about.
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So here we are on the axial view
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at the level of the pelvic inlet.
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We can see the iliac bones out here.
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And as we scroll down, we start
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to see the uterus come into view.
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Now it's important to remember that
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it can be challenging to identify the
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uterus and ovaries on CT, especially if
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there's a lot of bowel in the region.
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But again, we see the myometrium,
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and this is the endometrial cavity.
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As we scroll down, we start to
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see the ovaries come into view.
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This is the right ovary.
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We can see that it has a peripherally
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enhancing structure within it.
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This is a corpus luteum.
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And then we also see the left ovary over here.
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The ovaries on CT will look like
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hypodense, almond-shaped structures,
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again, typically lateral to the uterus.
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This is a sagittal reconstruction on the CT,
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which is ideal for evaluating the uterus.
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So again, here's the uterine fundus.
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This is the body.
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We see the myometrium and endometrial cavity.
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This is the cervix, anterior
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lip, and posterior lip.
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This patient has a small
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exophytic uterine fibroid as well.
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The coronal view can be helpful in identifying
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the ovaries relative to the uterus.
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So this is a coronal reconstruction of the CT.
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We are looking down the endometrial
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cavity, which is here centrally.
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This is myometrium surrounding
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the endometrial cavity.
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And out laterally, we start to see the right
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ovarian vascular pedicle and right ovary.
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And so again, here's the right ovary.
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Here's that corpus luteum.
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We can see it as sort of an
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extension coming off of the uterus.
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And here is the left ovary, which again can
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appear as a hypodense almond-shaped structure.
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When you're attempting to identify the
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ovaries on CT, it can be extremely helpful
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to also identify the gonadal veins.
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And so this is the right gonadal
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vein, and if we follow it, we can see
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that it connects to the right ovary.
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So that confirms for us that we have
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correctly identified the ovary on CT.
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