Hi, Thanks for writing in. In Polycystic ovarian disease the Ovaries 1. may show sonographic features of polycystic ovaries bilateral enlarged ovaries with multiple small follicles : 50% increased ovarian size ( 10 cc) 12 or more follicles measuring 2 - 9 mm follicles of similar size peripheral location of follicles : which can give a string of pearl appearance hyperechoic central stroma the ovarian outline may be slightly irregular ref 2. hypo-echoic ovary without individual cysts : 25% 3. normal ovaries : 25% Therefore you need to check for clinical symptoms like Presence of hyperandrogenism (clinical and/or biochemical) Ovarian dysfunction (oligo-anovulation and/or polycystic ovaries) Exclusion of related disorders​ The condition is treatable with medications.