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Refractory Shadowing from Pelvic Masses on Sonography

A Useful Diagnostic Sign for Uterine Leiomyomas

Elaine M. Caoili1,2, Barbara S. Hertzberg1, Mark A. Kliewer1, David DeLong1 and James D. Bowie1

1 Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710.



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  		Fig. 1 .—35-year-old woman with irregular bleeding. Axial transabdominal sonogram shows uterine leiomyoma (cursors) with recurrent shadowing pattern (arrows).

 


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  		Fig. 2. —47-year-old woman with uterine enlargement. Transvaginal sonogram shows uterine leiomyoma with recurrent shadowing (arrows).

 


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  		Fig. 3. —42-year-old woman with right-sided adnexal fullness. Axial transvaginal sonogram shows exophytic leiomyoma (cursors and arrows) with recurrent shadowing that mimics a right-sided adnexal mass. u = uterus.

 


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  		Fig. 4. —55-year-old woman with persistent right adnexal mass. Transvaginal sonogram shows ovarian fibroma with recurrent shadowing.

 

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