Clinical Radiology, University of Sao Paulo, Sao Paulo, Brazil Stefania Speca: Department of Radiological Sciences, Catholic University of the Sacred Heart, Rome, Italy Antonia Carla Testa: Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy Claudia Tomei: Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy Corinne Veyrac: Department of Paediatric Radiology, Arnaud de Villeneuve Hospital, Montpellier, France Daniela Visconti: Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy Maria Paola Zannella: Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy vi Chapter 3 Gynaecology Uterus and ovaries 133 134 Preparation and scanning strategies 137 Normal ndings Uterine issues 146 146 Congenital abnormalities 148 Benign endometrial disease 152 Benign myometrial illness 156 Neoplasms 163 Adnexal lesions 174 Fallopian tubes three Gynaecology Uterus and ovaries Gynaecological ultrasonography is a non-invasive imaging method that can be utilized: in the diagnostic work-up of pelvic plenty suspected on the basis of history and pelvic medical examination; within the diagnostic work-up of dysfunctional or infective ailments that involve or can involve the pelvis; in the di erential diagnosis of different acute abdominopelvic ailments (appendicitis, diverticulitis, in ammatory bowel diseases); in the periand postmenopausal diagnostic analysis of women with atypical uterine bleeding, so as to de ne the macroscopic characteristics of the endometrium and uterine cavity; in ovarian and endometrial surveillance of women at high-danger for ovarian and endometrial cancer (familial, drugs); in monitoring spontaneous or drug-induced ovulation; in monitoring therapy and surgery. 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