BACKGROUND Ultrasonography (USG) is the diagnostic test of choice in evaluating pelvic masses. Because of considerable overlap in the morphologic pattern of different pelvic masses, diagnosis should be correlated with histopathological findings. We wanted to do an ultrasonographic evaluation of pelvic masses and study its correlation with histopathology in a teaching hospital. METHODS This is a prospective study done among 40 cases subjected to USG at Department of Radiology, Hyderabad, Telangana, over a period of seven months. The USG findings were noted and were correlated with the final histopathological findings. The sensitivity and specificity of ultrasound for malignancy were 75 % and 88.8 % respectively. RESULTS In the present study ovarian masses were most frequent (67.5 %), followed by uterine (25 %) and adnexal masses (7.5 %). Majority of the benign pelvic masses (67 %) were seen in the age group of 31 – 40 years while malignant pelvic masses (15 %) were more common in the age group of 51 – 60 years. CONCLUSIONS Ultrasonography is the first choice imaging technique to investigate pelvic masses in women. Of all gynaecological pelvic masses, ovarian masses are the commonest. Sonography has good sensitivity and specificity and is very effective in diagnosis of gynaecological masses and it correlates well with the final histopathological diagnosis. KEYWORDS Ultrasonography, Pelvic Masses, Ovarian Masses, Histopathology

BACKGROUND Ultrasonography (US) has become popular in the present day practice in the evaluation of breast lesions. The USG findings can be supplemented by fine needle aspiration cytology (FNAC) and correlation between the two diagnostic modalities can help improve the diagnosis. We wanted to study the ultrasonographic features of breast lumps and to correlate the findings with fine needle aspiration cytology. METHODS This was a prospective study done on 55 patients of breast lumps who attended the ultrasound at department of Radiology, Maheshwara Medical College, Patancheru, Hyderabad, Telangana over a period of eight months. RESULTS Majority of the cases were reported as Benign i.e., 81.8 % (45 / 55), 12.7 % (07 / 55) constituted Malignant cases. Suspicious of malignancy in 5.4 % (03 / 55) cases. Most of the benign lesions were noted in the 20 - 50 years age group while malignant lesions were observed between 41 years to more than 60 years of age. The sensitivity, specificity, PPV and NPV of ultrasonography and FNAC in diagnosing breast lesions were 87.5 %, 93.6 %, 70 %, and 97.7 % respectively. CONCLUSIONS Ultrasonography is a primary imaging technique for evaluation of breast lumps and has good sensitivity, specificity, PPV and NPV for diagnosing breast lesions. It is complementary to FNAC and when both modalities are used together they can diagnose majority of the lesions. This can reduce the radiation exposure and the more invasive and expensive breast biopsy procedure. KEYWORDS USG, Breast Lesions, FNAC, BIRADS