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Which Patients Benefit from a 3D Reconstructed Coronal View of the Uterus Added to Standard Routine 2D Pelvic Sonography?

Beryl R. Benacerraf1,2,3, Thomas D. Shipp3 and Bryann Bromley3

1 Diagnostic Ultrasound Associates, 333 Longwood Ave., Boston, MA 02115.
2 Departments of Radiology, Brigham and Women's Hospital, Massachusetts General Hospital, and Harvard Medical School, Boston, MA.
3 Departments of Obstetrics and Gynecology, Brigham and Women's Hospital, Massachusetts General Hospital, and Harvard Medical School, Boston, MA.


Figure 1
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  		Fig. 1A —31-year-old woman who presented with infertility. Transverse view through uterus shows no abnormality.

 

Figure 2
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  		Fig. 1B —31-year-old woman who presented with infertility. Reconstructed coronal view of uterine cavity shows arcuate uterus.

 

Figure 3
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  		Fig. 2A —40-year-old woman with a fibroid. Transverse view of uterus shows fibroid (calipers). Exact location of fibroid with respect to uterine cavity is unclear because posterior aspect of fibroid obscures side of endometrium.

 

Figure 4
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  		Fig. 2B —40-year-old woman with a fibroid. Coronal view shows that fibroid is not submucous, but is intramural without distorting shape of uterine cavity. Plane shown here was deemed by sonologist to be best plane to show closest relationship between fibroid and endometrium, showing that fibroid did not extend into cavity but just abuts it.

 

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