 Hello everyone. Myself Dr. Yash Sreeman Kumar Nagariya, JR2 from the Department of Rural Diagnosis from D.Y. Bartel Hospital, Kulapur. My paper presentation topic is USG evolution of gynecological muscle in correlation with multi-detector CT scan. An introduction and the need for study. Gynecological muscle lesions are common among the women of menstrual and the post-menstrual age group. Approximately 20% of women will develop a gynecological mass at some time in their life. Muscles are one of the most common presentation of gynecological pathology and can range from benign masses like a simple cyst to melanin masses like ovarian or uterine carcinomas. Gynecology often face difficulty in treating the gynecological mass as differential diagnosis is difficult and complex. Also the nature of the gynecological mass needs to be classified as benign or melanin planning appropriate treatment. Although majority of the pelvic mass was diagnosed as benign, 5-10% are diagnosed as benign, which is the fifth most common cause of cancer in the world in the women worldwide. Aim of a study describes the morphology of gynecological masses such as size, consistency, position and structure origin which helps in differential diagnosis. To assess the relative role of USG in CT in evolution of gynecological masses, note the advantage of CT over USG in evolution of muscles, process the role of CT in evaluating sonological indeterminate masses. Inclusion criteria at a patient who is over 18 years at ending our hospital with a clinical suspicion of gynecology masses. Second, a patient who were detected with a gynecology muscle incidentally on ultrasonopathy. Exclusion criteria includes pregnant patient with muscles or clinically or sonologically proved cases of actopic pregnancy. My sample size is of 45 patients. Material methods, consent was taken for each case and today ultrasonopathy machine, a logic IQ effort expert GE Healthcare with color Doppler is used on CACD of the abdomen pelvis using Siemens 128 slice, plane and dual phase study done with the arterial phase at 20 to 40 seconds and venous phase at 70 to 90 seconds. This section taken with the size signals of 1.5 mm. Results and analysis. Number of patients are generally 13 menopausal and 32 menopausal. Spectrum of uterine masses out of we have seen five wide on number of cases detected on USG are is 11 and number of cases detected on CT is also 11. And the model randomly polyeth three cases were detected on Sonoma and three cases detected on CT adenomyosis. Both have seen the three patients detected on Sonoma as well as on CT and the metal carcinoma are three patients are detected on the ultrasonopathy there is four patients detected on the CT scan cervical carcinoma out of all patients four patients detected on ultrasonopathy and five patients detected on CT. In conclusion, the result is only the two patients in the USG and there is no inculcative result in the city. For the cases of simple ovarian cyst we have detected equal number on CT and the USG complex ovarian cyst three patient detected on USG and three on CT hemorrhagic cyst two detected on USG and two detected on CT ovarian neoblasm seven detected on CT seven detected on ultrasonopathy there is six detected on CT malignant ovarian neoblasm two patient detected on ultrasonopathy there is three patients detected on CT scan to wear ovarian mass both share same number of patients that is one. In conclusion, there is zero on both side. Discussion uterine fibroid uterine fibroid is uterine fibroid is generally on transverse ultrasonopathy we can see ultrasonopathy hypoequic mass to the to the myometary on the posterior wall and disrupting in the posterior myoretleic causing detection of the mass. On CT scan we are able to see mass based with soft cystic density, very few of us can see and it's starting a normal counter of the inculcative adenomyosis. Adenomyosis is the uterine enlargement in myometary thickening. Adenomyosis is a key specific feature of the adenomyosis. which is also a characteristic feature of adenomyosis. There is an interesting myometary interface which is also a feature of the CT scan of USG on adenomyosis. And the metric on the hypoequic mass and the characteristically interrupts the adenomyrium and the metal line interface. Who's a face? So this is a generic thing, what I like to use in situate centimeter in size, situate centimeter in size, sludge or any sort of mass in the cyst. The CT scan we are able to see, so this is a cyst of the inculcative adenomyosis. There is a complex situation of the cyst present on the hemorrhagic cyst. Hemorrhagic cysts are only used in clinical septation, and the only way to go is also present. Serious cystinoma, CT is an equal mass of seen in the homogeneous adenation within regular cyst walls. This is on the CT scan of the patient cystinoma. This large cystic adenoma, large cystic adenomyosis mass with multi-locular with inverse purchasing. This is a representation of the CT scan. This is a representation of anal carcinoma. This is a representation of anal carcinoma. Conclusion, among the uterine cysts, benign are common, mainly fibroids predominately in the age group of 31 to 45 years. Among ovarian mass, benign are common, predominately in the age group of 31 to 45 years. Both uterine and ovarian mergers are common, predominately in the age group of 60 years. Catering adenation size of the mass within 5 centenite of the CT scan is much like component. It is the power of the inner walls, what is the resins of the natural femur. I also showed a lot of options of site and the upper distribution, the line from the malignant region, and the sensitivity of 84.5% and the specific sensitivity of 87.6%. On CT findings such as tumor size of more than 5 cm, bilateral thick wall, that is more than 3 nm, thick septa, more than 3 nm, solid component, papillary projection, mural nodule, septal enhancement, acytus, local regional invasions, lymph node involvement, distant metabolism, it helps to activate intervention in malignant from benign region with the sensitivity of 97% and specificity of 91%. CT also help in the staging of the tumor in cases of malignancy. These are my references. Thank you.