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Hemorrhagic cyst. Premenopausal. 5-10 cm.

 

ACR white paper guideline (Andreotti, et al. Radiology 2020; 294: 168-185) suggest the following: Almost certainly benign lesion. O-RADS category 2. Follow-up ultrasound in 8-12 weeks. If the cyst persists or enlarges at follow-up, further evaluation with MRI or management by gynecologist recommended.

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