Nonsimple smooth cyst. Postmenopausal. <=3 cm.
ACR white paper guideline (Andreotti, et al. Radiology 2020; 294: 168-185) suggest the following: Almost certainly benign lesion. O-RADS category 2. If the lesion is concerning, immediate further evaluation with MRI recommended. Otherwise follow-up ultrasound in 1 years. If the cyst enlarges at follow-up, management by gynecologist recommended. If the cyst is stable or decreases in size, consider annual follow-up up to 5 years.
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ACR white paper guideline (Andreotti, et al. Radiology 2020; 294: 168-185) suggest the following: Almost certainly benign lesion. O-RADS category 2. If the lesion is concerning, immediate further evaluation with MRI recommended. Otherwise follow-up ultrasound in 1 years. If the cyst enlarges at follow-up, management by gynecologist recommended. If the cyst is stable or decreases in size, consider annual follow-up up to 5 years.
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