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This is a contrast-enhanced

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CT of the female pelvis.

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And let's review some of that normal

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anatomy that we just talked about.

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So here we are on the axial view

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at the level of the pelvic inlet.

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We can see the iliac bones out here.

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And as we scroll down, we start

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to see the uterus come into view.

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Now it's important to remember that

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it can be challenging to identify the

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uterus and ovaries on CT, especially if

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there's a lot of bowel in the region.

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But again, we see the myometrium,

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and this is the endometrial cavity.

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As we scroll down, we start to

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see the ovaries come into view.

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This is the right ovary.

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We can see that it has a peripherally

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enhancing structure within it.

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This is a corpus luteum.

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And then we also see the left ovary over here.

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The ovaries on CT will look like

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hypodense, almond-shaped structures,

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again, typically lateral to the uterus.

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This is a sagittal reconstruction on the CT,

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which is ideal for evaluating the uterus.

1:01

So again, here's the uterine fundus.

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This is the body.

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We see the myometrium and endometrial cavity.

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This is the cervix, anterior

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lip, and posterior lip.

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This patient has a small

1:12

exophytic uterine fibroid as well.

1:15

The coronal view can be helpful in identifying

1:18

the ovaries relative to the uterus.

1:21

So this is a coronal reconstruction of the CT.

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We are looking down the endometrial

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cavity, which is here centrally.

1:27

This is myometrium surrounding

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the endometrial cavity.

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And out laterally, we start to see the right

1:33

ovarian vascular pedicle and right ovary.

1:36

And so again, here's the right ovary.

1:38

Here's that corpus luteum.

1:40

We can see it as sort of an

1:41

extension coming off of the uterus.

1:43

And here is the left ovary, which again can

1:47

appear as a hypodense almond-shaped structure.

1:51

When you're attempting to identify the

1:53

ovaries on CT, it can be extremely helpful

1:56

to also identify the gonadal veins.

1:59

And so this is the right gonadal

2:00

vein, and if we follow it, we can see

2:02

that it connects to the right ovary.

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So that confirms for us that we have

2:07

correctly identified the ovary on CT.