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The ultrasound and color Doppler imaging of hemorrhagic ovarian cysts reveals a range of appearances depending on the type and stage. Hemorrhagic follicular cysts often show fine internal fibrin strands in a lace-like reticular pattern. Retraction of clots may mimic mural nodules but lacks vascularity. Color Doppler assists in differentiating true solid masses from avascular clots. Hemorrhagic corpus luteum cysts typically demonstrate peripheral vascularity, while theca lutein cysts with hemorrhage show thin walls with internal hemorrhagic content. Accurate diagnosis is crucial to avoid misinterpreting these cysts as neoplastic. Follow-up scans usually show resolution within weeks. Doppler imaging is essential in distinguishing avascular blood clots from malignant nodules, aiding in safe and conservative management. Recognition of these patterns allows for accurate diagnosis and prevents unnecessary interventions. For more on this topic visit: https://www.ultrasound-images.com/ova... #HemorrhagicCyst #OvarianUltrasound #ColorDoppler #RadiologyEducation