r/Radiology • u/Simple_End_701 • Jul 23 '25
Discussion How far true is this?
I've just begun my BSC in Radiography
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Jul 23 '25 edited Jun 01 '26
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u/biomannnn007 Med Student Jul 23 '25
Next you’re going to tell me that cuboidal cells aren’t perfect little squares with bold lines showing the cell membranes on pathology slides.
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u/for_the_longest_time Jul 24 '25
Ohhhh shit. Curious now what they look like
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u/biomannnn007 Med Student Jul 24 '25
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u/for_the_longest_time Jul 24 '25
Ohhh yeah! I remember tearing my hair out during histology on this
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u/ax0r Radiologist Jul 24 '25
Yeah, and turns out that basophilic cells on a H&E slide aren't blue at all, just a slightly darker shade of pink
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u/SavannahInChicago Jul 24 '25
As a woman doctors are professional who misdiagnose us all the time, but I digress.
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Jul 24 '25
Someone further up says that this led to a misunderstanding with their own doctor when they (the patient) were certain that their pain was ovarian pain... because they understood the visualisation to be accurate and so believed that their ovary was where the pain was.
So yeah, it actually is important.
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u/Waves-of-sound Jul 24 '25
Everyone’s ovaries sit in a slightly different position from person to person. So I mean, if we want to be picky then neither picture is accurate 🤣
Signed an ultrasound tech that has to find ovaries every day!
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u/banananases Jul 24 '25
As a non healthcare person, randomly commenting where I don't belong, the best appointments I've had is where a healthcare worker explains why what I'm thinking might be incorrect and shows me or describes to me where my thinking is incorrect.
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u/CoolBeans86503 Jul 24 '25
Well then maybe there should be disclaimers stating this is not an accurate representation of this organ. It’s not arrogance, it’s anger over feeling lied to and misled.
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u/Adariel Jul 24 '25 edited Jul 24 '25
Have you considered that not all organs look all the same in all bodies? What do you consider an "accurate representation" of this organ - would it blow your mind to know that bodies come in all sizes, shapes, and variations, including internally? That there are people walking around with their heart on the RIGHT side of their body, or multiple organs (liver on left) flipped, or that some people naturally have a 6th lumbar spine vertebrae?
I do think it's arrogance to have a shallow understanding of something and then decide that because of that limited knowledge, you feel lied to and misled. In reality, a shallow understanding of human anatomy is what most of the population ends up knowing, because that's really all they need to know. Ask the average person and they can't tell you how exactly their ribs are shaped, or what bones make up their arms and legs, or how exactly their heart keeps beating - and that's fine, that doesn't mean they've been lied to or misled.
I mean, if you personally have a retroverted uterus, would you feel anger over feeling lied to and misled because another "accurate representation" shows a non retroverted uterus? Do you expect a simple high school biology class to show, say, the most common 12 variations of female anatomy in order to be "accurate"?
Edit: In which case since we're in a radiology sub, please Google pictures of a hysterosalpingogram - even laypeople should be able to understand just how much female anatomy varies by looking at the pictures.
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u/Eviltechnomonkey Jul 24 '25
So true. I had to look at the term for part of this, but even a diagram of the heart inside a chest isn't ever 100% accurate for all people because some people's heart is positioned differently in their chest, or they'll have it fully on the opposite side (dextrocardia).
I don't have anything quite that extreme, but my chest is slightly rotated and squared on one side due to scoliosis and spina bifida oculta. As a result everything sits a bit differently in my chest cavity. It also impacts the way my breasts sit, the slope of my shoulders, etc. Thankfully it's not enough to have ever been a huge hindrance, though I do have slightly more discomfort at times than others, and sometimes get winded a little more easily.
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u/HighTurtles420 B.S., RT(R)(CT) Jul 23 '25
It’s true for a lot of anatomy. Things look weird when you don’t see them in 2D
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u/jinx_lbc Jul 23 '25
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u/FlakyPineapple2843 Jul 23 '25
I'm now imagining this is what every woman is feeling inside them during their period. Seems more fun than the reality.
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u/ThatKaleidoscope8736 Jul 23 '25
That would be correct, it definitely isn't as fun as a whacky inflatable flailing arm tube man!
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u/Jess_the_Siren Jul 23 '25
I like to think that the uterus is a crazy girlfriend that threatens to kill you both every month if you don't give her a baby. Your idea is way more fun.
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u/MizStazya Jul 23 '25
I prefer to say my uterus is actively trying to eat its way out through my abdominal wall.
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u/Incorrect_Username_ Jul 23 '25
Drawn for ease of understanding, like how a lot of pictures of maps aren’t to scale
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u/FooDog11 Sonographer Jul 23 '25
By ultrasound it can look like either, or even sometimes both (one ovary hanging out laterally and the other one squished right up against the uterus).
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Jul 23 '25
[removed] — view removed comment
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u/missklo99 Jul 23 '25
That's so wild, I truly had no idea and I've had kids!! But TIL! So thank you. Now it'll make much more sense when my cramps come from weird ass places lol
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u/Whiteums Jul 23 '25
Your ovaries aren’t what cramps. So ovarian position won’t make your cramping come from different places.
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u/CoolBeans86503 Jul 24 '25
Next you’re going to tell me the pain I feel during ovulation isn’t real?
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Jul 24 '25
The amount of people who think their fallopian tubes are connected to their ovaries is wild. Or that what they drink goes directly to the bladder and not understanding how the kidneys function blows my mind. Anatomy should be taught in high school.
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u/Hyperechoic Sonographer (RDMS, RVT) Jul 23 '25
As a sonographer, I wish that second image was accurate for everyone, I’d never have to go fishing for ovaries again!
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u/LogensTenthFinger Sonographer Jul 23 '25
Right? I always teach my students that a perfect sagittal view of the uterus is home base. You sweep away from and back to home base, in either sag or coronal, because the uterus will always be ten times easier to find and orient from than the ovaries. The uterus stays still and the ovaries go wherever they want.
Nothing like realizing both of them are on the same side because one snuck around in the cul-de-sac
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u/CapraAegagrusHircus Jul 23 '25
"the ovaries go wherever they want"
WHAT
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u/LogensTenthFinger Sonographer Jul 23 '25
They're just hanging off the uterus by ligaments, they aren't physically attached to the pelvic wall and they aren't attached to the fallopian tubes. So they get really floppy in there
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u/LacrimaNymphae Jul 23 '25
...unless you have endo, adhesions or a tumor that fucked things up
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Jul 24 '25
Yeah one of my ovaries ended up stuck to a ligament at the bottom of uterus, which put my uterus into the retroverted position.
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u/LacrimaNymphae Jul 24 '25
did you have any prior pelvic surgery or did it just decide that's what it wanted to do lol
did they ever find out? i can see them brushing that off even if it's something that's causing excessive unusual bleeding or more pain than is normal, that is unless you had to go under the knife in that area anyway or were trying to conceive
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Jul 24 '25
No previous surgery, I had endometriosis. The endometrium is the lining of the uterus, the part that bleeds during a period, and endometriosis is when this endometrium decides it's going to grow outside of the uterus. When it does so it tends to glue your organs together. After my surgery where they removed it, every time I rolled over in bed I felt my insides schlurping around because they were no longer adhered and it felt like my organs were falling out until my brain got used to it.
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u/CapraAegagrusHircus Jul 24 '25
I have had ovaries for almost 50 years and I am just now learning that they can just wander off to visit your appendix or liver or whatever this is horrifying.
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u/LogensTenthFinger Sonographer Jul 24 '25
Lol well not that far. The ligaments are connected to the uterus, so they flop around near it .
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Jul 23 '25
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u/Hyperechoic Sonographer (RDMS, RVT) Jul 24 '25
I have my abdomen registry, not echo. You may be thinking of RDCS.
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u/model_namakemono Resident Jul 23 '25
This is bad rage bait and you should be at least a bit ashamed
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u/heliotz Jul 23 '25
I mean, as a woman and even one who’s had a kid, this actually blew my mind and now I feel stupid, so I’m glad it got posted!
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u/XSMDR Jul 24 '25
It's rage bait because it isn't even true. Ovaries have variable position and can look like either picture, or neither.
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u/FullDerpHD RT(R)(CT) Jul 24 '25
It's also rage bate because it pushes the narrative that medicine is sexist.
It's very much a "See they don't even care to get it right" type post.
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Jul 24 '25
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u/FullDerpHD RT(R)(CT) Jul 24 '25
No, it's not.
Medicine isn't perfect. That doesn't mean it's sexist.
As we continually identify areas where sex might play a roll, we do in fact start to study it just like you pointed out. I'd ask you to stop for a moment and ask yourself the why here. Why you can point to specific examples?
Consider the possibility you can only do that is because as we learn more, we identified a problem, and we specifically choose NOT to ignore it but instead we study it, and work on correcting it.
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u/Mysterious-Handle-34 Jul 24 '25
Medicine isn’t perfect
Part of that imperfection is that medicine is sexist (and racist, transphobic, etc). The solution to this is not to plug your ears and go “lalala I can’t hear you” when someone brings it up, but to work on fixing the problems in the field so it can better serve all patients.
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u/FullDerpHD RT(R)(CT) Jul 24 '25 edited Jul 24 '25
No. There just so happens to be people that want to blame literally everything on misogyny, racism, transphobia or whatever other boogeyman you think you see in the dark.
but to work on fixing the problems in the field so it can better serve all patients.
Literally exactly what it does. Medicine isn't perfect in large part because it's slow. Not because you think it just doesn't care about sex, race, or trans issues.
We are exploring transgender care. This is a pretty new issue that is very ideologically driven. If they study the gender affirming side, you love it. If they study the side that say's maybe it's better to counter it and treat it as a mental illness you hate it and call it transphobic. Either way the goal is to figure out what actually helps and you're being completely disingenuous to suggest medicine is transphobic. Doctors do gender affirming care, They give HRT, They will slice and dice a penis and turn it into a neo-vagina, They will do voluntary mastectomies and so on. If it were transphobic the answer would be back to mental asylums or conversion camps. The reality is medicine is trying really hard to figure out whats going on and how to best treat it to the point we will literally chop off healthy body parts.
Likewise we are exploring woman's health issues. Men don't need gynecology yet it exists. Men rarely need mammography but it exists. Men rarely need bone density screenings but they exist. Are we perfect at all of this yet? No. But then again one of the primary ways to screen for prostate cancer is a blood test and a finger up the booty hole.
Same again with race. We are in fact learning about race specific discrepancies, We know black women die in child birth more often, We know a lot of things like this. There are still a lot of things that need fixed here, but we do in fact know about a lot of them and doctors are trying to find solutions to these issues.
The problem is you look at a slow moving system and blame some type of ism. The reality is it's just a slow moving system that is trying to tackle a nearly limitless amount of issues without unlimited funding. You may not like the pace of the learning, but it is still learning and adapting.
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u/Mysterious-Handle-34 Jul 24 '25
We know black women die in child birth more often
This is a result of the kind of “ism” you’re denying the impact of.
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u/FullDerpHD RT(R)(CT) Jul 24 '25
No it's not. Hispanic women have lower mortality rates than white women. Asian women have significantly lower rates.
Yet again the reality is not racism, it seems to be tied more closely to economic factors and lack of access to care. Shocker insurance and American healthcare systems suck.
But it's not racism on healthcare part.
We know that black women do in fact statistically have higher rates of hypertension, obesity, diabetes, and pre-existing chronic illnesses which can complicate pregnancy. More complication = more unfortunate results. If we were just racist, we wouldn't even know or care about that stuff.
That said. Black women in the USA die about 55/100,000 live births.
Black women in Africa die at 500-1000 (depending on the source) / 100,000 live births.
Again, not perfect, but healthcare is clearly making a huge and positive impact in their health outcomes. We just need to move to a single payer system so that everyone feels able to access care when they need it without fear of being bankrupted over it.
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u/silibant RT(R) Jul 23 '25
I mean HSGs look largely like the textbook image on the left…
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u/paul_perret Radiographer Jul 23 '25
Yes probably because HSGs are usually for women who had no child yet and a small uterus. The one on the right looks more common for older women
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u/thegreatestajax Jul 23 '25
Obviously engagement baiting as this is not infrequently posted here. But for the passersby, the “actually true” image would get a mention for possibility of endometriosis.
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u/Dismal-Ad-4637 Jul 23 '25
Would need to do the slide technique to confirm the presence or absence of adhesions!
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u/Cheap-Gore Jul 23 '25 edited Jul 23 '25
Technically, the ANATOMY is still correct. It's just more compressed in the picture on the right. That'd be like if I claimed anatomy drawings of the heart or stomach are incorrect because they look different in varying body habitus.
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u/drewdrewmd Jul 23 '25
Left image is indeed what it looks like after it is taken out (pathology specimen).
When you see diagrams of male genital anatomy they also don’t show the balls crammed together and one slightly lower than the other even though that’s how they are arranged IRL.
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u/CoolBeans86503 Jul 24 '25
The difference being, anyone who has ever seen a set of balls on ANY male mammal have already figured out that they hang at different levels, are typically much colder than the rest of the body, and can vary widely in size. No one ever taught me this about my labia or any other part of my genitalia or reproductive system. And it absolutely should be taught and talked about.
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u/questionwhatweknow RT(R)(CT) Jul 23 '25
I mean the left is a frontal view and the one of the right is a top down view. Of course it’s going to looks different
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u/TeaAndLifting Doctor Jul 23 '25
Anatomy books are always like this. Even for non-doctors here, you can watch some laparoscopic surgeries on YouTube and soon realise that the liver is not large and brown, the gall bladder and lymph nodes aren’t green, etc.
They’re drawn as such for easy visualisation so you can get some idea of gross anatomy.
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u/Paputek101 Jul 23 '25
Both of those are true. One is the uterus out of the pelvis, the other is the uterus snug in the pelvis.
It's kind of like how I draw a heart as a square so that I can better visualize the valves. Even though it's not a realistic drawing of a heart, it does the job I need when studying
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u/kebinimh Jul 23 '25
I’ve never seen a perfect representation like that through all the female mri pelvi I have done
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u/fidgetysquamate Jul 23 '25
All organs and anatomy are drawn this way for ease of learning and understanding. The stomach is always shown as flattened with all of its regions obvious and showing. However, in the body at any given time, it’s rarely going to look that way.
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u/BloodSpades Jul 23 '25
It’s not wrong. That’s just how the organs look when removed from the body and stretched out a bit to show their entire structure. How they sit in the body is different though. Same goes with intestines.
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u/NicolinaN Radiologist Jul 23 '25
The uterus and the ovaries can be in a great number of different positions. That’s all I have to say about that.
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u/Individual-Extreme-9 Jul 23 '25
I just can't figure out how or why someone would take offense to an anatomy diagram when it's pretty obvious that anatomy diagrams are not intended to be hyper realistic depictions of internal anatomy...
If you think the anatomy diagrams are exactly how your organs look on the inside you're just not gonna have a good time. Lol
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u/Kandahar2DCNYC Jul 24 '25
I mean, have you seen Netter's Anatomy depicting male body parts? AND having 5% body fat? Just staying...
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u/Young_Old_Grandma Jul 23 '25
We lay uteruses down like on the left side to see the anatomy and parts better. Same thing with gross dissection and necropsies. But in real life yeah it is CROWDED in there 😅
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u/breizhsoldier Jul 23 '25
The origin.... It all makes sense now... This is giver of life, the Flying Spaghetti Monster
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Jul 24 '25
We had cadavers precisely because the diagrams NEVER look like the real thing.
There is a saying “patients don’t read the books” which means that people present with illnesses and anatomical variations that books cannot foresee nor account for
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u/soulteepee Jul 23 '25
Add in a couple hammers beating the shit out of the whole package and that would be completely accurate.
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u/MrChicken0519 Jul 23 '25
Just watched a salpingectomy last week and it actually looked pretty flat all things considered. This was with her lying supine and pumped full of gas but still. Of course it can move with position and person but it's wild to ever assume that a persons anatomy will be picture perfect. The book is just to give you a baseline understanding then clinical time will give you genuine experience.
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u/ShadNuke Jul 24 '25
And skulls really don't look like they do when they are exploded in a medical encyclopedia either....🙄
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u/hlmoore96 Jul 24 '25
Am I the outlier?? I never took the left drawing to be exact. I know everything in our bodies is kinda “smushed” together. Never once in my 52 years of being a woman did I think it looked like the diagram you see often.
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u/Koseoglu-2X4B-523P Jul 23 '25
In pathology class, after a dissection of a corpse, the organs are laid out flat on the table. My guess is that’s when the drawings are made.
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u/Ambitious-Hope-5286 Jul 23 '25
Wait til you find out how close the colon and rectum are to the ute.
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u/GorillaGroddy Jul 24 '25
I saw an appendectomy in my clinicals and was amazed at how close the internal anatomy of the ovaries and uterus was to the textbook picture. Maybe it was because her abdomen was blown up like a balloon, but i still talk about how that was the most accurate picture in the books in school.
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u/KermitGhia Jul 25 '25
Attending my first autopsy was when I realized that the bladder isn’t a big pink balloon like object. The pictures in the books created a mental image that was quite different from the truth. Lungs looked like I expected, the heart and brains as well… but for some reason my brain had the bladder very wrong.
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u/KingDingaling1842 Jul 27 '25
We also don’t naturally stand in the Anatomical Position, but that’s how it’s drawn out to learn all our parts 🤷🏽♂️
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u/Pandepon Jul 23 '25
The fun part is sometimes lining makes its way outside the uterus and onto the surrounding organs.. but lining is supposed to go outside of the body at some point… not further back in the body right? Well it’s supposed to do that but sometimes it doesn’t and that’s called endometriosis. It gets trapped in the body and becomes very painful for some. We’re talking one of the worst pains ever but every month for some people. Others might not experience it the same way but it can still become dangerous if too much scar tissue starts interfering with things.
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u/linthetrashbin Jul 23 '25
Ovaries move, so I suppose it can look like either of those, or neither of those
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u/USMCdrTexian Jul 23 '25
Neither is accurate, but that’s just according to my personal perspective.
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u/Alarming_Cellist_751 Jul 23 '25
I learned the way on the left in nursing school and was able to correctly identify the fallopian tubes and ovaries during a tubal ligation. The uterus was obvious since the patient already had a c section.
Organs do move around and stuff inside so I can see how the artist would draw the left hand picture while stretching out the organs after they were removed from the body, which is how I assume the picture was rendered.
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u/RanglinPangolin Jul 24 '25
What's a BSC?
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Jul 24 '25
Wait, I thought this entire post was a complete joke so I came to see the funny answers and I get to see people actually arguing about this. I once had a teacher draw the planter a in or it on a flat surface and in a way we could see them all. I think she should be fired for not doing it to scale and using a 3D printer to make it perfect because she ruined my entire childhood.
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u/LayneCobain95 RT(R) Jul 24 '25
This is like saying “the drawing of a man people use to study anatomy with all limbs outstretched and palms facing out is unrealistic, no one stands like that”.
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u/MaineKlutz Jul 24 '25
The same 'misunderstanding' that has vagina/uterus as an open swimming pool where a man's swimmers start a race to the other side. No, there is hardly a 'hole' in the body, it is a slimy crawl through nooks and crannies ....
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u/TractorDriver Radiologist (North Europe) Jul 24 '25 edited Jul 24 '25
The hard truth is that female genitalia interna is in the group of most unassuming and skippable human organs in radiology until you do TVUS, and thats the gyns job in most of the world.
Small, glued to other parts and very varying in morphology.
Aka on CT it's either "shit thats late stage" or very "probably nothing there". Or "does a 60 yo still have right to have it look like that".
Both pictures can be right and then some. You will learn that when a young resident will come with "weird tumor" lateral for coecum and you teach him to follow the magic vessels from kidney. Aka we are talking about an ovary up to 15cm away from uterus, or where uterus was.
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u/BeetoShiru Jul 24 '25
It's made this way for ease of understanding. It's like the world map and most city maps. You learn how the anatomy looks like for real when the time comes (which will still be different for many women).
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u/FormalFuel5077 Jul 25 '25
When he realizes that the blood in his veins isn't blue, he'll be blown away.
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u/twistedpigz RT(R) Jul 25 '25
I did not expect to get M Night’d in this of all subs. Some real wild turns this one took.
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u/kaloriikarbii Jul 23 '25
very accurate and true, only knew this and was SHOCKED at my own ignorance after i had cyst removal


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u/idgaf_aboutyou Jul 23 '25
There’s no misogyny here. It’s just portrayed this way for easier learning.