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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 three Gynaecology Uterus and ovaries 133 134 Preparation and scanning techniques 137 Normal ndings Uterine problems 146 146 Congenital abnormalities 148 Benign endometrial illness 152 Benign myometrial illness 156 Neoplasms 163 Adnexal lesions 174 Fallopian tubes three Gynaecology Uterus and ovaries Gynaecological ultrasonography is a non-invasive imaging technique that can be utilized: within the diagnostic work-up of pelvic masses suspected on the premise of history and pelvic clinical examination; within the diagnostic work-up of dysfunctional or infective ailments that involve or can contain the pelvis; in the di erential diagnosis of different acute abdominopelvic illnesses (appendi- citis, diverticulitis, in ammatory bowel illnesses); within the peri- and postmenopausal diagnostic evaluation of girls with atypical uterine bleeding, in order to de ne the macroscopic traits of the endometrium and uterine cavity; in ovarian and endometrial surveillance of women at high-threat for ovarian and endometrial most cancers (familial, medicine); in monitoring spontaneous or drug-induced ovulation; in monitoring therapy and surgical procedure. 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