Case challenge · Imaging / Gynecology / Ultrasound · teaching

O-RADS Ultrasound · Adnexal Mass Risk Stratification · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ACR O-RADS US v2022

Case #1Imaging / Gynecology / Ultrasound

📋 Case data

Primary determinationLesion needs morphology scoring (cystic/solid)
Morphology stratificationIrregular solid, or multilocular + solid component CS4, or ascites/peritoneal nodules

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 2 · Primary determination

Primary determination: adequate technique / physiologic / needs morphology scoring?

💡 O-RADS US v2022 is for the ovary, adnexa/tube, and paraovarian cyst (assessing malignancy risk). Not applicable: PID, ectopic pregnancy, normal ovary, torsion, clearly non-ovarian source (e.g. fibroid). Color score CS: 1 no flow/2 minimal/3 moderate/4 marked. First distinguish physiologic and classic benign lesions (CBL), score the rest by morphology.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.