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Ultrasound Showed Homogeneous Myometrial Echotexture, Abdominal US Showed Fatty Infiltration. What Is The Clinical Correlation?
Question: I just received the findings of an abdominal and pelvic ultrasound and need some explanations...
Findings on the pelvic: Transvesical pelvic sonography was performed. The uterus measured 7.8 x 4.7 x 2.5 cm. Myometrial echotexture was grossly homogeneous. Endometrial echo complex measured 2-3 mm in greatest thickness. The right ovary measured 1.6 x 1.1 x 0.6 cm and left ovary 1.4 x 1.4 x 1.2 cm. No adnexal mass or free pelvic fluid was seen. Resistive indices were not obtained due to bowel artifact.
Conclusion: negative study
Abdominal: Diffusely increased hepatic echogenicity is consistent with fatty infiltration. No focal liver lesion or intrahepatic biliary duct dilation was demonstrated. Extrahepatic biliary tree was of normal caliber with CBD measuring 3-4 mm. Gallbladder was contracted and contained two large stones, measuring 1.6 and 2.2 cm. Gallbladder wall was thickened. There is on pericholecystic fluid. Pancreas was unremarkable. Spleen was not enlarged measuring up to 10.9 cm.
The right kidney measured 10.9 x 5.8 x 4.9 cm and left kidney 11.7 x 5.8 x 5.0 cm. No solid or cystic renal mass, shadowing calculus or hydronephrosis was demonstrated. Abdominal aorta and IVC were unremarkable. No fluid collection was noted.
CONCLUSION: Fatty liver. Thick-walled contracted GB with calculi suggesting changes of chronic cholecystitis. Recommend clinical correlation.
Findings on the pelvic: Transvesical pelvic sonography was performed. The uterus measured 7.8 x 4.7 x 2.5 cm. Myometrial echotexture was grossly homogeneous. Endometrial echo complex measured 2-3 mm in greatest thickness. The right ovary measured 1.6 x 1.1 x 0.6 cm and left ovary 1.4 x 1.4 x 1.2 cm. No adnexal mass or free pelvic fluid was seen. Resistive indices were not obtained due to bowel artifact.
Conclusion: negative study
Abdominal: Diffusely increased hepatic echogenicity is consistent with fatty infiltration. No focal liver lesion or intrahepatic biliary duct dilation was demonstrated. Extrahepatic biliary tree was of normal caliber with CBD measuring 3-4 mm. Gallbladder was contracted and contained two large stones, measuring 1.6 and 2.2 cm. Gallbladder wall was thickened. There is on pericholecystic fluid. Pancreas was unremarkable. Spleen was not enlarged measuring up to 10.9 cm.
The right kidney measured 10.9 x 5.8 x 4.9 cm and left kidney 11.7 x 5.8 x 5.0 cm. No solid or cystic renal mass, shadowing calculus or hydronephrosis was demonstrated. Abdominal aorta and IVC were unremarkable. No fluid collection was noted.
CONCLUSION: Fatty liver. Thick-walled contracted GB with calculi suggesting changes of chronic cholecystitis. Recommend clinical correlation.
Hi and thanks for the query
The abdominal ultrasound shows a fatty liver and chronic calculous cholecystitis
Fatty liver indicates excess fat deposition in the liver and is a marker of a poor life style. The basic defect in a fatty liver is a relative insulin resistance. Get your BP,TSH, blood sugars and lipid profile tested as abnormalities of these are frequently seen with fatty liver. This can predispose you to heart attacks and stroke if remedial measures are not taken. Lead a active lifestyle with aerobic exercise of an hour daily and get medications if any abnormalities are detected.
A thickened contracted gallbladder in the presence of gall stones indicate an inflammed diseased gallbladder. However confirm the gallbladder wall thickness (should be <3mm) by repeating an ultrasound after atleast 4 hrs of fasting ( so as to ensure good gall bladder distension). It is better to get the gallbladder with the stones out by cholecystectomy. Leaving behind such a gallbladder may put you at risk of complications like gallbladder empyema, cholangitis, pancreatitis and rarely gallbladder cancer
Regards
Dr XXXXXXX
The abdominal ultrasound shows a fatty liver and chronic calculous cholecystitis
Fatty liver indicates excess fat deposition in the liver and is a marker of a poor life style. The basic defect in a fatty liver is a relative insulin resistance. Get your BP,TSH, blood sugars and lipid profile tested as abnormalities of these are frequently seen with fatty liver. This can predispose you to heart attacks and stroke if remedial measures are not taken. Lead a active lifestyle with aerobic exercise of an hour daily and get medications if any abnormalities are detected.
A thickened contracted gallbladder in the presence of gall stones indicate an inflammed diseased gallbladder. However confirm the gallbladder wall thickness (should be <3mm) by repeating an ultrasound after atleast 4 hrs of fasting ( so as to ensure good gall bladder distension). It is better to get the gallbladder with the stones out by cholecystectomy. Leaving behind such a gallbladder may put you at risk of complications like gallbladder empyema, cholangitis, pancreatitis and rarely gallbladder cancer
Regards
Dr XXXXXXX
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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