ROLE OF IMAGING IN THE EVALUATION OF PELVIC MASSES IN FEMALE PATIENTS

Background: Pelvic masses infemales pose a diagnostic challenge due complex origins and overlapping imaging characteristics. Evaluation typically begins with clinical assessment followed by imaging, often incidental during other examinations.

Aims:Accurate diagnosis is crucial for optimal management, with imaging guiding diagnosis and narrowing differentials. This study aims to detail the roles of sonographic and cross-sectional pelvic imaging in females with pelvic pain or masses.

Materials And Methods: Prospective study of 50 female patients with pelvic pain/masses referred for imaging.Initial assessment with ultrasound (US) cases deemed inconclusive or suspicious progressed to CT and MRI. Final diagnoses based on imaging and clinical follow-up.

Results:Identified 50 masses: 38 benign and 12 malignant.

 Sensitivity of CT: 80% for benign, 100% for malignant MRI: 85% for benign, 100% for malignant lesions.

Conclusion:Pelvic tumors and their mimics challenge diagnosis. Ultrasound is initial for pelvic pathology MRIs superior soft tissue contrast and organ-specific details enhance diagnostic accuracy.