Cysts were identified in 106 ovaries (68%). Cysts were seen in patients of all ages, particularly in the younger children (2-6 years old). Thirteen of the cysts, noted in 1 1 patients between 2 and 10 years old, were macrocysts.The typical sonographic appearance of the ovary in premenarchal girls is not homogeneous.Cysts are common in premenarchal girls between 2 and 12 years old and are the cause of the typical heterogeneous image. Macrocysts can be seen in healthy girls less than I I years old.

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A review of the sonographic findings in 17 children with non-inflammatory neck masses suggests that while ultrasound is nonspecific with regard to the differential diagnosis, it can show whether a mass is cystic, solid, or complex. Sonography is also useful in clarifying the anatomical extent of a lesion and involvement of underlying normal structures.

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