📄 SCRS
Polycystic Ovary Syndrome PCOS/PCOD
PCOS/PCOD ultrasound case study
USG
Polycystic Ovary Syndrome (PCOS/PCOD) ultrasound case study
Case Study Record
| SN | Case Name | Report Line |
|---|---|---|
| 1 | Bilateral PCOS/PCOD | View Report Line |
| 2 | Right PCOS/PCOD | View Report Line |
| 3 | Left PCOS/PCOD | View Report Line |
| 4 | - | - |
| 4 | - | - |
CASE–1
Clinical History
Patient was referred for pelvic ultrasound due to irregular menstrual cycles, infertility, hirsutism, acne, or suspected polycystic ovarian syndrome. Clinical and biochemical correlation is advised.
Ultrasound Findings
Ultrasound examination demonstrates bilateral enlarged ovaries containing multiple small peripheral follicles measuring approximately 2–9 mm in diameter, arranged in a characteristic "string of pearls" appearance. The ovarian stroma appears mildly increased in echogenicity with increased stromal volume. No dominant follicle, adnexal mass, or free fluid is identified. The uterus demonstrates normal size and echotexture.
Report Line
Both ovaries are enlarged and demonstrate multiple (≥10) small peripheral follicles measuring approximately 2–9 mm with increased central stromal echogenicity, producing a characteristic "string of pearls" appearance. The findings are suggestive of bilateral polycystic ovaries (PCOD/PCOS morphology). Clinical and biochemical correlation is recommended.
Impression
Features are consistent with bilateral polycystic ovarian morphology (PCOM), suggestive of PCOD/PCOS in the appropriate clinical setting. Correlation with clinical findings and hormonal profile is recommended for the diagnosis of polycystic ovary syndrome.
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Recommendation
Correlation with clinical symptoms, serum hormonal profile, and the Rotterdam diagnostic criteria is recommended. Gynecological or endocrinological consultation may be considered for comprehensive evaluation and management.
Key Learning Points
- PCOS is diagnosed using a combination of clinical, biochemical, and imaging findings.
- Ultrasound typically demonstrates bilateral enlarged ovaries with multiple peripheral follicles measuring 2–9 mm.
- Increased ovarian stromal volume and echogenicity are common sonographic features.
- The characteristic "string of pearls" appearance supports the diagnosis of polycystic ovarian morphology.
- Ultrasound findings alone do not establish the diagnosis of PCOS.
- Differential diagnoses include multifollicular ovaries, ovarian hyperstimulation, and normal physiological follicular development.
- Clinical correlation using the Rotterdam criteria is essential for definitive diagnosis.
CASE–2
Right Polycystic Ovary Syndrome (PCOS/PCOD)
Right Polycystic Ovary Syndrome (PCOS/PCOD)
Clinical History
Patient was referred for pelvic ultrasound due to irregular menstrual cycles, infertility, hirsutism, acne, or suspected polycystic ovarian syndrome. Clinical and biochemical correlation is advised.
Report Line
The right ovary is enlarged and demonstrates multiple (≥10) small peripheral follicles measuring approximately 2–9 mm with mildly increased central stromal echogenicity, producing the characteristic "string of pearls" appearance. The left ovary appears normal. The findings are suggestive of right polycystic ovarian morphology (PCOD/PCOS morphology). Clinical and biochemical correlation is recommended.
Impression
Features are consistent with right polycystic ovarian morphology (PCOM), suggestive of right PCOD/PCOS in the appropriate clinical setting. Correlation with clinical findings and hormonal profile is recommended for the diagnosis of polycystic ovary syndrome.
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CASE–3
Left Polycystic Ovary Syndrome (PCOS/PCOD)
Left Polycystic Ovary Syndrome (PCOS/PCOD)
Clinical History
Patient was referred for pelvic ultrasound due to irregular menstrual cycles, infertility, hirsutism, acne, obesity, or suspected polycystic ovarian syndrome. Clinical and biochemical correlation is advised.
Report Line
The left ovary is enlarged and demonstrates multiple (≥10) small peripheral follicles measuring approximately 2–9 mm with increased central stromal echogenicity, producing the characteristic "string of pearls" appearance. The findings are suggestive of left polycystic ovary (PCOD/PCOS morphology). Clinical and biochemical correlation is recommended.
Impression
Features are consistent with left polycystic ovarian morphology (PCOM), suggestive of left PCOD/PCOS in the appropriate clinical setting. Correlation with clinical findings and hormonal profile is recommended for the diagnosis of polycystic ovary syndrome.
📋 Go To Case Study Table
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