ACR 2026 Update: Ultrasound First for Postmenopausal Acute Pelvic Pain

For postmenopausal women with acute pelvic pain, ultrasound is the first-line imaging study; MRI or CT are reserved for inconclusive sonographic findings, according to the ACR Appropriateness Criteria 2026 update.

• Focuses on gynecologic causes including ovarian torsion, pelvic inflammatory disease, and acute complications of uterine fibroids.
• Ultrasound is the initial imaging modality of choice; MRI and CT are used only when sonographic findings are inconclusive.
• The guideline employs GRADE methodology and multidisciplinary expert consensus.

Automated summary

RadPigeon summaries are original and for information only. They are not clinical advice.