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What Does My Ultrasound Scan Report Indicate?

Posted on Fri, 20 Feb 2015

Question: My wife aged 43 years has diagnostics impression of a Uterus is anteverted and bulky. Endometrial echoes are homogenous. No vascularity seen Cervix is normal in echotexture. Impressions in Diagnostic Report " bulky uterus with an intramural fibroid and endometrial thickening" of 17mm and anechoic lesion measuring 37x23mm. No internal echoes, septations or mural nodules seen. The right ovary is not separetely seen.
Thyroid test (TSH) reads 15.41. What the above suggests and indicate. XXXX-0000

Answered by Dr. Prof. Kunal Saha (1 hour later)

Brief Answer:
Fibroids are non cancerous growths. Hypothyroidism present.

Detailed Answer:
Dear XXXXXXX

Thanks for asking on HealthcareMagic.

I have gone through the details provided. It suggests that there is a fibroid of the size 1.7 cm within the wall of your wife's uterus. Fibroids are non-cancerous growths made of fibrous and muscle tissue. A fibroid of this size can be ignored unless your wife suffers from severe problems of irregular and high amount of bleeding. I would not get worried about the right ovary not being detected separately. There are other supporting structures of the uterus and sometimes the ovary can not be made out from them. Anteverted is the normal position of the uterus and cervix is as expected, so it is normal too.

TSH level is high and indicates hypothyroidism and requires thyroxine supplementation to be done.

Hope that helps.

Regards
Dr. Kunal Saha

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prof. Kunal Saha (1 hour later)

Doctor,
I was chiefly worried about the Endometrial Thickening, the Fibroid and Prolonged Bleeding. However, you have that they are non-cancerous growths.
But, I think I missed out mentioning a couple of points of the above which I would like reproduce the report in verbatim. Kindly analyse and advice.

The Diagnostic Reports reports as follows:
1. A well defined 38x28 mm hypoechoic mass is seen in the anterior wall of the lower body. This shows minimal vascularity. The endometrium is thickened, considering ongoing prolonged bleeding P/V & measures 17mm. Endometrial echoes are homogenous. No Vascularity seen. Cervix is normal in echotexture.
2. The right adnexa shows a thin walled anechoic lesion measuring 37x23 mm. No internal echoes, septations or mural nodules seen. The right ovary is not seperately seen.
No evidence of free fluid in pouch of XXXXXXX

Impression of Radiologist:
Bulky uterus with an intramural fibroid and endometrial thickening.
For HPE Correlation.
Simple Right ADNEXAL, Likely ovarian Cyst.
For Clinical Correlation.

Regards XXXXXXX

Answered by Dr. Prof. Kunal Saha (18 hours later)

Brief Answer:
Endometrial thickening occurs in every menstual cycle-normal finding.

Detailed Answer:
Thanks for asking back. Sorry for not being able to write back earlier.

I am not worried about the endometrial thickening. However, it could have a role to play in increased amount of bleeding which can be caused due to the fibroid. The size of the fibroid is more than the previous one.

The anechoic mass in the right adnexa could be an ovarian follicle with cyst formation and is not a reason for concern.

If the bleeding is severe, you would need to opt for surgical removal of the fibroid. But if the bleeding is otherwise not bothering, you can let it remain like that. This sort of tumour does not generally turn cancerous. In that case, you would have to remain in periodic follow up and would need to monitor the growth of the fibroid periodically.

Hope that helps.

Regards
Dr. Kunal Saha

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. Ashwin Bhandari