Your next patient has hirsutism and evidence of androgen excess. Note the hair growth on the chin and the oily skin. Serum testosterone and cortisol should be tested in this patient. Polycystic ovary, high power view. Prominent layer of theca interna cells with extensive luteinization.
Atretic follicles are more abundant in the cortex.
The following is the ultrasound appearance of her ovaries. Polycystic ovary-pearl necklace sign.