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Training Collections
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On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
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Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
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For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 2 min.
5 topics, 14 min.
11 topics, 40 min.
Introduction to Mullerian Duct Anomalies (MDA)
5 m.Agenesis
4 m.Unicornuate with Rudimentary Horn
5 m.Didelphys Uterus – Pediatric
5 m.Didelphys Uterus – Adult
4 m.Unknown case – Septate (Complete Septate Uterus)
7 m.Complete Septate MRI (Fibrous Septum)
6 m.Partial Septate on US
3 m.Bicornuate Uterus - Case 1
4 m.Bicornuate Uterus - Case 2
2 m.Mullerian Duct Anomalies (MDA) – Teaching Points
2 m.8 topics, 21 min.
10 topics, 27 min.
Adenomyosis – Introduction
6 m.Adenomyosis Nodules
3 m.Adenomyosis – Cysts in 26 y/o Patient
3 m.Venetian Blind Appearance of Adenomyosis
3 m.Multiple Imaging Findings of Adenomyosis
4 m.Adenomyosis on MRI – Focal Thickening
3 m.Classic Adenomyosis on MRI – T2 Cysts
2 m.Adenomyosis – Problem Solving with MRI
4 m.Adenomyosis – Problem solving MRI with Endometrioma
4 m.Adenomyosis – Teaching Points
2 m.7 topics, 23 min.
11 topics, 25 min.
10 topics, 26 min.
Introduction- Post Pregnancy Considerations
1 m.Endometritis (After C-Section)
3 m.C- Section Dehiscence
4 m.C-Section Pseudoaneurysm
4 m.Retained Products of Conception (RPOC)
3 m.Retained Products of Conception and Ancillary Findings
5 m.Arteriovenous Malformation (AVM)
5 m.Arteriovenous Malformation (AVM) – Companion Case
3 m.Isthmocele – Three Appearances
3 m.Teaching Points- Post Pregnancy Considerations
1 m.0:02
So our first case is a 48-year-old
0:03
patient who comes in with heavy menses.
0:07
We're going to start with the transabdominal
0:08
view of the uterus on sagittal imaging.
0:11
You'll note that the bladder isn't filled in
0:13
this particular case. You have a little bit of
0:15
bladder right here that's filling, and this is
0:17
because we do this on all of ours per protocol.
0:19
We do transabdominal in case the uterus is
0:21
so large, the ovaries are very high that
0:23
we can't see them via the transvaginal view.
0:26
13 00:00:26,675 --> 00:00:29,565 And I think in this case, we'll go
0:29
to the transvaginal in just a moment.
0:31
We can already see there are
0:33
multiple lesions in this uterus.
0:35
We have our bright stripe here in the
0:36
middle, and then you have this dark,
0:39
heterogeneous lesion with some shadowing at
0:42
the margins of it. Another lesion over here.
0:45
Another lesion here.
0:50
So then we'll move to the transvaginal
0:52
view, which gives you some
0:53
hopefully prettier pictures as well.
0:57
And again, classic fibroids.
0:59
We have one here in the lower uterine segment.
1:00
It's heterogeneous.
1:02
It has that shadowing
1:03
occurring at the margins of it.
1:04
You can see the mass effect upon the endometrium
1:06
right here from this fibroid back here.
1:09
And you can certainly see this one is shadowing
1:11
enough that it's difficult to see the tissue
1:13
behind to judge what's going on back there.
1:18
This one does have mass effects on the
1:20
endometrium right here. Sometimes with
1:22
ultrasound, it can be told if it's just mass
1:24
effect or truly a submucosal component.
1:27
You want to look to see if there's myometrial
1:28
tissue in between the fibroid and endometrium
1:31
and that way you can tell for sure,
1:33
but sometimes it's too difficult and you have
1:35
to say this may have a submucosal component.
1:38
A classic appearance of a fibroid here,
1:40
another small one here anteriorly.
1:45
So all fairly classic fibroids, and then
1:47
one more back here, lots of fibroids
1:50
in this uterus.
Interactive Transcript
0:02
So our first case is a 48-year-old
0:03
patient who comes in with heavy menses.
0:07
We're going to start with the transabdominal
0:08
view of the uterus on sagittal imaging.
0:11
You'll note that the bladder isn't filled in
0:13
this particular case. You have a little bit of
0:15
bladder right here that's filling, and this is
0:17
because we do this on all of ours per protocol.
0:19
We do transabdominal in case the uterus is
0:21
so large, the ovaries are very high that
0:23
we can't see them via the transvaginal view.
0:26
13 00:00:26,675 --> 00:00:29,565 And I think in this case, we'll go
0:29
to the transvaginal in just a moment.
0:31
We can already see there are
0:33
multiple lesions in this uterus.
0:35
We have our bright stripe here in the
0:36
middle, and then you have this dark,
0:39
heterogeneous lesion with some shadowing at
0:42
the margins of it. Another lesion over here.
0:45
Another lesion here.
0:50
So then we'll move to the transvaginal
0:52
view, which gives you some
0:53
hopefully prettier pictures as well.
0:57
And again, classic fibroids.
0:59
We have one here in the lower uterine segment.
1:00
It's heterogeneous.
1:02
It has that shadowing
1:03
occurring at the margins of it.
1:04
You can see the mass effect upon the endometrium
1:06
right here from this fibroid back here.
1:09
And you can certainly see this one is shadowing
1:11
enough that it's difficult to see the tissue
1:13
behind to judge what's going on back there.
1:18
This one does have mass effects on the
1:20
endometrium right here. Sometimes with
1:22
ultrasound, it can be told if it's just mass
1:24
effect or truly a submucosal component.
1:27
You want to look to see if there's myometrial
1:28
tissue in between the fibroid and endometrium
1:31
and that way you can tell for sure,
1:33
but sometimes it's too difficult and you have
1:35
to say this may have a submucosal component.
1:38
A classic appearance of a fibroid here,
1:40
another small one here anteriorly.
1:45
So all fairly classic fibroids, and then
1:47
one more back here, lots of fibroids
1:50
in this uterus.
Report
Faculty
Kathryn McGillen, MD
Assistant Professor of Radiology, Medical Director of Ultrasound
Penn State University Milton S Hershey Medical Center
Tags
Vascular
Uterus
Ultrasound
Neoplastic
Idiopathic
Gynecologic (GYN)
Body
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