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What Does My Lab Test Report Indicate?
Question: PELVIC WITH TRANSVAGINAL SONOGRAM
History: Vaginal bleeding
Sonographic evaluation was performed both transabdominally and endovaginally.
Comparison is made to previous sonogram dated 10/30/2013
The uterus is anteverted measuring 9.6 x 4.9 x 5.7 cms. Small anterior uterine body myoma
is again noted now measuring 1.0 x 0.6 x 1.0 cm which is slightly increased in size
compared to findings on the previous examination. A calcification within the uterine body
measuring 1.1 cm is also noted and increased in size..
The endometrial echo complex is thickened to 1.3 cm, which is an abnormal finding in a
postmenopausal patient, and is increased in thickness compared to findings noted on the
previous examination...
The right ovary measures 1.8 x 1.7 x 1.6 cm . No evidence of right ovarian masses or
cysts are seen.
The left ovary measures 1.8 x 1.3 x 1.9 cm. No evidence of left ovarian masses or cysts
are seen.
No adnexal abnormalities or evidence of pelvic free fluid is demonstrated.
IMPRESSION:
Thickening of the endometrial echo complex to 1.3 cm, which is an abnormal finding for a
postmenopausal patient. Clinical correlation and close follow-up is recommended.
Small anterior uterine body myoma and calcifications, both increased in size compared to
findings noted on the previous examination.
Unremarkable ovaries..
\
History: Vaginal bleeding
Sonographic evaluation was performed both transabdominally and endovaginally.
Comparison is made to previous sonogram dated 10/30/2013
The uterus is anteverted measuring 9.6 x 4.9 x 5.7 cms. Small anterior uterine body myoma
is again noted now measuring 1.0 x 0.6 x 1.0 cm which is slightly increased in size
compared to findings on the previous examination. A calcification within the uterine body
measuring 1.1 cm is also noted and increased in size..
The endometrial echo complex is thickened to 1.3 cm, which is an abnormal finding in a
postmenopausal patient, and is increased in thickness compared to findings noted on the
previous examination...
The right ovary measures 1.8 x 1.7 x 1.6 cm . No evidence of right ovarian masses or
cysts are seen.
The left ovary measures 1.8 x 1.3 x 1.9 cm. No evidence of left ovarian masses or cysts
are seen.
No adnexal abnormalities or evidence of pelvic free fluid is demonstrated.
IMPRESSION:
Thickening of the endometrial echo complex to 1.3 cm, which is an abnormal finding for a
postmenopausal patient. Clinical correlation and close follow-up is recommended.
Small anterior uterine body myoma and calcifications, both increased in size compared to
findings noted on the previous examination.
Unremarkable ovaries..
\
Brief Answer:
You must have endometrial biopsy at the earliest.
Detailed Answer:
Hi,
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani. I will be answering your concerns today.
I have read your ultrasound report.
The presence of that small fibroid ( mass of fibrous tissue) and calcification is not of concern at all.
Normally women dont have vaginal bleeding after menopause. The endometrial thickness in postmenopausal women is less than 5mm. Are you on any medications like tamoxifen, HRT?
If you are not on any medications vaginal bleeding and thick endometrium are of concern. You are having bleeding because of this thick endometrium. It is thickened because of overgrowth of the lining of uterus. Sometimes ( 1 in 10 chance) the thick endometrium with bleeding in menopausal women is due to cancer. Therefore it is extremely important that you fix appointment with your Gynecologist at the earliest for endometrial biopsy to make sure that it is just overgrowth of endometrium and not cancer.
I don't wish to scare you. But I have to tell you the facts so that you can have right management
I hope this helps.
If you have further concerns I will be happy to answer
You must have endometrial biopsy at the earliest.
Detailed Answer:
Hi,
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani. I will be answering your concerns today.
I have read your ultrasound report.
The presence of that small fibroid ( mass of fibrous tissue) and calcification is not of concern at all.
Normally women dont have vaginal bleeding after menopause. The endometrial thickness in postmenopausal women is less than 5mm. Are you on any medications like tamoxifen, HRT?
If you are not on any medications vaginal bleeding and thick endometrium are of concern. You are having bleeding because of this thick endometrium. It is thickened because of overgrowth of the lining of uterus. Sometimes ( 1 in 10 chance) the thick endometrium with bleeding in menopausal women is due to cancer. Therefore it is extremely important that you fix appointment with your Gynecologist at the earliest for endometrial biopsy to make sure that it is just overgrowth of endometrium and not cancer.
I don't wish to scare you. But I have to tell you the facts so that you can have right management
I hope this helps.
If you have further concerns I will be happy to answer
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
well i had a dnc a couple of years ago and didnt have any bleeding last year at all and it just started a little bit this year but not to get graphic but its just like a whipe and thats it.. its almost like its like an end of a period type blood like a little brownish... definitely not heavy bleeding at alll....... i have an appointment on aug 12th.. that is the sono report that zwanger has on their site where u the patient can look at their reports but i had no idea what any of this meant
Brief Answer:
Details below
Detailed Answer:
Hi,
Welcome back.
In 9 out of 10 women such bleeding is due to benign ( not cancer) causes like atrophic vaginitis ( thin vaginal mucosa due to low estrogen) , vaginal infection, benign endometrial polyp ( overgrowth of endometrium) etc. Because of the small possibility of cancer in one in ten women in such a scenario examination and endometrial biopsy are extremely important to make sure that everything is okay.
Do go for the appointment on 12 th.
If you have further concerns I will be happy to answer.
Do keep me updated.
With best wishes,
Dr Rama
Details below
Detailed Answer:
Hi,
Welcome back.
In 9 out of 10 women such bleeding is due to benign ( not cancer) causes like atrophic vaginitis ( thin vaginal mucosa due to low estrogen) , vaginal infection, benign endometrial polyp ( overgrowth of endometrium) etc. Because of the small possibility of cancer in one in ten women in such a scenario examination and endometrial biopsy are extremely important to make sure that everything is okay.
Do go for the appointment on 12 th.
If you have further concerns I will be happy to answer.
Do keep me updated.
With best wishes,
Dr Rama
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
so because of it not being heavy bleeding at all is a good thing in a way?? and what does it mean when it said unremarkable ovaries? and it saying that there is no sin of cyst or mass in both ovaries is good right?
Brief Answer:
Ovaries unremarkable means that they are normal.
Detailed Answer:
Hi,
Postmenopausal bleeding has the same significance whether it is mild or heavy.
Ovaries unremarkable means they are normal. No cyst or mass is a very good sign. It means that ovaries are perfectly normal.
I hope this is normal.
If you have further concerns , do write to me.
Ovaries unremarkable means that they are normal.
Detailed Answer:
Hi,
Postmenopausal bleeding has the same significance whether it is mild or heavy.
Ovaries unremarkable means they are normal. No cyst or mass is a very good sign. It means that ovaries are perfectly normal.
I hope this is normal.
If you have further concerns , do write to me.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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