Can polycystic ovaries develop into polycystic ovary syndrome?

Sort of: Polycystic ovaries is a finding on ultrasound where there are lots of small follicles on the ovaries. Pcos is where you have some combination (depending on which criteria your doctor uses) of pco looking ovaries, ovulation problems and symptoms of producing too much male hormone. Many but not all women with pcos have pco looking ovaries and many women with pco ovaries have the syndrome.