Fig. 8
From: Radiological appearances of gynaecological emergencies
Pelvic inflammatory disease with pyosalpinx on ultrasound. This patient presented to the emergency department with lower abdominal pain, pyrexia and vomiting. a–b Transvaginal ultrasound of both adenexa. There are bilateral adenexal cysts that contain low-level echogenic material and have a tubular configuration (white arrows). The appearance is in keeping with bilateral pyosalpinges, a complication of pelvic inflammatory disease