What should normal adult ovaries look like on ultrasound?

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Multiple Choice

What should normal adult ovaries look like on ultrasound?

Explanation:
On ultrasound, a normal adult ovary is an almond- or oval-shaped organ with a smooth, regular contour. Its internal texture is relatively homogeneous, and you’ll commonly see small fluid-filled follicles in the cortex that appear anechoic (black) on the image. A single dominant anechoic follicle may be present during certain phases of the menstrual cycle, but the overall parenchyma should stay uniform without solid nodules or calcifications. This description—almond-shaped, homogeneous, with an anechoic follicle inside—best matches a normal ovary. The other patterns described would suggest ovarian pathology, such as cystic disease, irregular contour from scarring or calcifications, or abnormal echogenicity.

On ultrasound, a normal adult ovary is an almond- or oval-shaped organ with a smooth, regular contour. Its internal texture is relatively homogeneous, and you’ll commonly see small fluid-filled follicles in the cortex that appear anechoic (black) on the image. A single dominant anechoic follicle may be present during certain phases of the menstrual cycle, but the overall parenchyma should stay uniform without solid nodules or calcifications. This description—almond-shaped, homogeneous, with an anechoic follicle inside—best matches a normal ovary. The other patterns described would suggest ovarian pathology, such as cystic disease, irregular contour from scarring or calcifications, or abnormal echogenicity.

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