Complex Ovarian Cyst / Hemorrhagic Pattern on Ultrasound
Welcome back to Practical Ultrasound.
Today we will discuss the sonographic appearance of a hemorrhagic ovarian cyst — a very common but sometimes confusing adnexal lesion. We’ll learn how to identify its classic ultrasound features and differentiate it from other complex ovarian masses.”
The uterus is normal in size, shape, and echotexture. It is anteverted in position. The myometrium appears homogeneous without focal mass lesion. The endometrial echo is centrally placed and measures approximately 9.1 mm in thickness.
Uterine measurements are as follows:
Length: 7.39 cm
Anteroposterior diameter: 3.41 cm
Transverse diameter: 4.84 cm
No focal uterine abnormality is identified on the provided images.
The left ovary is normal in size and echotexture, measuring approximately:
3.28 × 1.89 × 1.70 cm
Estimated ovarian volume: 5.53 mL
No focal resignation lesion is seen in the left ovary.
The right ovary shows a well-defined complex cystic lesion is seen within the ovary containing internal reticular echoes and fibrin strands, with internal low-level echoes,
Findings are suggestive of a hemorrhagic ovarian cyst measuring approximately: 5.00 cm in maximum diameter
Follow up ultrasonography after 6–8 weeks may be considered to document resolution.No solid component or septation is evident on the provided image.
No internal vascularity is identified on Doppler study.
Disclaimer
“This educational material is intended for learning purposes and should always be correlated with clinical findings and follow-up imaging.”
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Impression
Complex cystic ovarian lesion with internal reticular echoes and avascular fibrin strands, suggestive of a hemorrhagic ovarian cyst.
Follow-up ultrasonography is recommended for resolution assessment.
Differential Diagnosis of a Hemorrhagic Ovarian Cyst
Common travis scott differentials include:
Endometrioma
Ovarian Neoplasm
Tubo-ovarian Abscess
Dermoid Cyst
Immediate Medical Attention Needed If:
Sudden severe pelvic pain
Dizziness or fainting
Fever
Increasing abdominal distension
Suspected rupture or torsion
What you Should Do
Gynecology consultation if needed
Follow-up pelvic ultrasound in truist championship 2026 about 6–8 weeks
Symptomatic treatment for pain
Observe for spontaneous resolution
Additional Evaluation May Include
Pregnancy test (β-hCG)
CBC if bleeding suspected
Doppler ultrasound
MRI or further imaging if lesion remains indeterminate
“Thank you for watching this case discussion on hemorrhagic ovarian cyst.
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Always correlate ultrasound findings with clinical presentation and follow-up imaging when necessary. See you in the next video.
