ARDMS Practice Test 2025 – Comprehensive All-in-One Guide to Diagnostic Medical Sonography Success!

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Which type of cystic mass appears hypoechoic on ultrasound?

Simple cyst

Complex cyst

A complex cyst is characterized by having both fluid and solid components, which can lead to varying echogenicity on ultrasound. Typically, complex cysts present as hypoechoic areas due to the presence of debris or thickened walls, which contrasts with the surrounding structures and can indicate the need for further evaluation.

In contrast, simple cysts are generally anechoic (completely dark) due to their homogenous fluid content, while hemorrhagic cysts often appear echogenic because of the presence of blood, which alters their appearance. Solid masses, on the other hand, typically have varying levels of echogenicity, depending on their tissue composition, but will not be classified as hypoechoic in the same context as a complex cyst. Thus, the characteristics of a complex cyst make it identifiable on ultrasound as hypoechoic, differentiating it from other types of cystic and solid masses.

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Hemorrhagic cyst

Solid mass

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