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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 methods 137 Normal ndings Uterine problems 146 146 Congenital abnormalities 148 Benign endometrial disease 152 Benign myometrial illness 156 Neoplasms 163 Adnexal lesions 174 Fallopian tubes 3 Gynaecology Uterus and ovaries Gynaecological ultrasonography is a non-invasive imaging technique that can be used: within the diagnostic work-up of pelvic plenty suspected on the basis of historical past and pelvic medical examination; within the diagnostic work-up of dysfunctional or infective illnesses that involve or can involve the pelvis; in the di erential prognosis of other acute abdominopelvic diseases (appendi- citis, diverticulitis, in ammatory bowel ailments); within the peri- and postmenopausal diagnostic evaluation of girls with atypical uterine bleeding, to be able to de ne the macroscopic characteristics of the endometrium and uterine cavity; in ovarian and endometrial surveillance of girls at high-threat for ovarian and endometrial most cancers (familial, medication); in monitoring spontaneous or drug-induced ovulation; in monitoring therapy and surgery. 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