Question: Dr. my wife has CT reports saying that S/O Midl hepatomegaly with bulky uterus with bulky cervix with streaks densities in parametrium S/o Pelvic inflammatory disease. What could be the cause and effect

CT SCAN WAS DONE JUST FOR PRECUATIONARY MEASURE RECOMMENDED BY A Dr. Friend. She had Typhoid in Feb which relapsed again after a month and she gets a Temp of 99.0-99.4 for couple of hours a day presently and goes back to normal without any fever medicine. My Dr. Friend said that it might be OK with this temp as it doesn't touches or crosses 100. But CT scan was done just for precautionary measure


pap smear test: NOT DONE YET

Abnormal vaginal bleeding : No
Back Pain: No
Weight Loss: No
Vaginal discharge: No

I 'M GIVING YOU DETAILS OF BLOOD REPORTS AS WELL AS ULTRASOUND OF PELVIC & ABDOMINAL DONE COUPLE OF WEEKS BACK


BLOOD REPORTS

Blood Reports as follows:
Hemoglobin: 12.7
TLC: 6,800
DLC
Neutrophil: 58
Lynphocyte: 40
EOSINOPHIL: 02
MONOCYTE: 00
BASOPHIL: 00

ESR: 17

PLATELET COUNT: 2.49
MCV: 84.4
MCH: 28.7
MCHC: 34.0
P.C.V: 37.4
RBC: 4.43
RDW: 40.1

TYPHOID: POSITIVE

PELVIC UTLTRASOUND REPORT

UTERUS IS RETROVERTED IN POSITION MEASURES 7.9X5.7CM NORMAL IN SIZE
SHOWS NORMAIL FUNDAL CONTOUR
NO SEPTATE , BICORMUATE OR ARCUATE VARIETY OF UTERUS
THERE ARE ANTERIOR & POSTERIOR WALL INTRA MURAL FIBRIODS
ANTERIOR WALL: 0.8CM, 0.6CM SHOWS NO MASS EFFECT
POSTERIOR WALL: 2.4CM SHOWS NO MASS EFFECT
RIGHT OVARY PROMINENT IN SIZE & VOLUME (3.8X3.0X3.2CM, 19.0ML). THERE IS CYSTIC COMPLEX OF 3.2X 2.7X 2.6CM, 11.7ML IN RIGHT OVARY. THIS SHOWS IRREGULAR THICK INNER LINING, INTERNAL ECHOES, & PERIPHERAL VESSELS. THIS IS MOST LIKELY A HEMORRHAGIC CYST.
NORMAL OVARIAN TISSUE IS SEEN IN PERIPHERY

THE LEFT OVARY IS NORMAL IN SIZE
FREE FLUID IS SEEN IN CUL-DE-SAC

ABDOMINAL ULTASOUND REPORT
LIVER SHOWS NORMAL TEXTURE. MILD ENLARGEMENT OF LEFT LOBE IS SEEN.
THERE IS NORMAL DILATION OF THE INTRA HEPATIC BILIARY TREE
THE SPLEEN IS MILDLY ENLARGED SHOWS NORMAL TEXTURE
THE PORTAL & SPLEMIC VEINS ARE NORMAL
THE GALLBLADER SHOW SNORMAL DISTENSION & WALL THICKNESS.
BILE DUCT IS NORMAL

PANCREAS NORMAL. NO MASSES OR CYST IN REGION OF ADRENALS
NO ENLARGEMENT OF ADRENAL GLANDS. NO COMPLEX OR CYSTIC MASSES

BOTH KIDNEYS NORMAL IN LENGTH
RENAL CORTICAL TXTURE & THICKNESS NORMAL WITHOUT ANY MASSES OF CYSTS

CORTICAL MODULLARY JUNCTION IS NORMAL
NO HYDRONEPHROSIS, CALCULUS OR PERINEPHRIC FLUID COLLECTION

URINARY BALLADER SHOWS NORMAL DISTENSION & WALL THICKENESS. NO ECHOGENIC MASSES, URETEROCELES OR CALCULI ARE SEEN

NO ASCITES, PLEURAL EFFUSION OR PARA AORTIC ADENOPATHY

Awaiting your feedback Dr. Thanks