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One of the best things about a career in ultrasound is that every day is different. Every patient is an opportunity for a new challenge and a new learning experience. We are all continually learning new techniques and tricks and I'd like to share mine with you. You can also find more great information in my book, "Quick Reference Guide for Ob & Gyn Sonography" available on Amazon.com. The book's best sections are the chapter Key Points, which are a compilation of all the great tips, tricks, pitfalls and advice I've received from other techs over the years. If you have scanning advice or a particular case that you learned something new from, please fill out the contact form below and I'll post it. Looking forward to hearing from you!

Wednesday, March 11, 2015

Surprise Adnexal Finding

About a week ago, I scanned a 40 year old female patient complaining of pelvic pain.  I performed a transvaginal sonogram and found this right adnexal mass:
The above is in sagital and here it is in transverse:
I was unable to determine its origin so I described it as a complex tubular mass in the right adx and stated I was unable to clearly see a right ovary. The doctor sent the patient on for a CT scan, which basically repeated what I said: right adnexal mass, unable to determine origin.  The patient was scheduled for surgery, which was performed yesterday, and the doctor was shocked to find that is was a cancerous appendix! Apparently very rare. 


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