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A) Dermoid plug CORRECT
The most common appearance of an ovarian dermoid is a cystic lesion with a focal echogenic nodule protruding into the cyst (Rokitansky nodule).1
B) Tip-of-the-iceberg sign INCORRECT
The next most common appearance of an ovarian dermoid is a focal or diffuse hyperechoic mass with areas of sound attenuation from the sebaceous material and hair, often called the tip-of-the-iceberg sign.1
C) Dot-dash pattern INCORRECT
The 3rd most common appearance of an ovarian dermoid is a cystic lesion with multiple thin echogenic bands (lines and dots) that visualize hair floating within the cyst.1
D) Fat-fluid level INCORRECT
The 4th most common appearance of an ovarian dermoid is a result of the echogenic sebum and hypoechoic serous fluid causing a fat-fluid level.1
- Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. RadioGraphics. 2001;21(2):475–490.
Dr. Kanmaniraja is Assistant Professor and Chief, Division of Abdominal Imaging, Department of Radiology, University of Florida College of Medicine-Jacksonville.
Dr. Kaunitz is University of Florida Term Professor and Associate Chairman, Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville. He is Medical Director and Director of Menopause and Gynecologic Ultrasound Services at UF Women's Health Specialists-Emerson. He also serves on the OBG Management Board of Editors.
The authors report no additional financial relationships relevant to this quiz.
Dr. Kanmaniraja is Assistant Professor and Chief, Division of Abdominal Imaging, Department of Radiology, University of Florida College of Medicine-Jacksonville.
Dr. Kaunitz is University of Florida Term Professor and Associate Chairman, Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville. He is Medical Director and Director of Menopause and Gynecologic Ultrasound Services at UF Women's Health Specialists-Emerson. He also serves on the OBG Management Board of Editors.
The authors report no additional financial relationships relevant to this quiz.
Dr. Kanmaniraja is Assistant Professor and Chief, Division of Abdominal Imaging, Department of Radiology, University of Florida College of Medicine-Jacksonville.
Dr. Kaunitz is University of Florida Term Professor and Associate Chairman, Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville. He is Medical Director and Director of Menopause and Gynecologic Ultrasound Services at UF Women's Health Specialists-Emerson. He also serves on the OBG Management Board of Editors.
The authors report no additional financial relationships relevant to this quiz.
A) Dermoid plug CORRECT
The most common appearance of an ovarian dermoid is a cystic lesion with a focal echogenic nodule protruding into the cyst (Rokitansky nodule).1
B) Tip-of-the-iceberg sign INCORRECT
The next most common appearance of an ovarian dermoid is a focal or diffuse hyperechoic mass with areas of sound attenuation from the sebaceous material and hair, often called the tip-of-the-iceberg sign.1
C) Dot-dash pattern INCORRECT
The 3rd most common appearance of an ovarian dermoid is a cystic lesion with multiple thin echogenic bands (lines and dots) that visualize hair floating within the cyst.1
D) Fat-fluid level INCORRECT
The 4th most common appearance of an ovarian dermoid is a result of the echogenic sebum and hypoechoic serous fluid causing a fat-fluid level.1
A) Dermoid plug CORRECT
The most common appearance of an ovarian dermoid is a cystic lesion with a focal echogenic nodule protruding into the cyst (Rokitansky nodule).1
B) Tip-of-the-iceberg sign INCORRECT
The next most common appearance of an ovarian dermoid is a focal or diffuse hyperechoic mass with areas of sound attenuation from the sebaceous material and hair, often called the tip-of-the-iceberg sign.1
C) Dot-dash pattern INCORRECT
The 3rd most common appearance of an ovarian dermoid is a cystic lesion with multiple thin echogenic bands (lines and dots) that visualize hair floating within the cyst.1
D) Fat-fluid level INCORRECT
The 4th most common appearance of an ovarian dermoid is a result of the echogenic sebum and hypoechoic serous fluid causing a fat-fluid level.1
- Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. RadioGraphics. 2001;21(2):475–490.
- Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. RadioGraphics. 2001;21(2):475–490.
A 49-year-old woman with pelvic discomfort presents to her gynecologist. Physical exam suggests unilateral adnexal fullness; the gynecologist orders transvaginal pelvic ultrasonography.
