What Does The Following Ultrasound Report Indicate?

Posted on Tue, 30 Dec 2014

Question: 46 Years old Had Ultrasound. Showing Uterus as 9.3 * 5.1 * 5.1 Anteverted .9 cm Subserosal fibroid, Diffusely Heterogenous Myometrium. Right Ovary not found. Left Ovary 4.5 * 5*6.3 cm, Complex cystic areas with mural nodularity and internal echos measuring 3.5 * 3.5 * 3.9 cm and 2.6 *2.1 *4.3 cm unclear if they communicate. My Dr this not explained this to me . Have appt next week. Please explain what this means so I can be prepared. I have been in pain for months and no one believed me. There are also complex cystic structures in left adnexa

Answered by Dr. Aarti Abraham (14 minutes later)

Brief Answer:
LESION IN ADNEXA, MRI NEEDED. NOTHING SERIOUS.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Let me interpret your scan report for you.
Firstly, the uterus is quite normal.
0.9 cm means a small fibroid less than 1 cm, which is very tiny, and negligible.
You do not need to worry about that.
The left side of the pelvis has a mass.
This is cystic with some solid parts, could be a cyst on the ovary , or a dilated fallopian tube.
Again, relax.
THis is nothing very serious.
Further imaging in the form of MRI is needed to clarify what exactly the structure in the adnexa is.
Would you please tell me what are your exact issues and symptoms.
ALso, there is one scan done in September, that mentions a normal right ovary, and the recent one saying it is not visualized.
Why was the scan done in September, and why was it repeated now ?
More details are needed about your symptoms and the sequence of tests done.
Looking forward to hearing from you.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (12 minutes later)

The scan was done in September due to Bloating ,Pelvic pain ,Lengthy menstrual cycles ,spotting between cycles, and painful intercourse. I constantly feel like someone is tightening a belt around my pelvic area.

Answered by Dr. Aarti Abraham (58 minutes later)

Brief Answer:
MASS NEEDS WORKUP

Detailed Answer:
Thank you.
There is a mass in the adnexa.
An MRI will clarify if it is ovarian in nature or just a dilated fallopian tube.
An ovarian mass would need further evaluation in the form of blood tests ( for eg. CA - 125 ) and possibly a laparoscopy to delineate the lesion.
It could be anything - right from endometriotic cyst ( explains the pain and menstrual issues ), complex cyst, infected cyst, hydrosalpinx ( infectious dilatation of the tube ) or a benign / malignant ovarian tumour.
ON what cycle day was this scan done ?
I would like to know that to comment on the endometrial thickness.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (11 hours later)

I just started my flow today if that helps

Answered by Dr. Aarti Abraham (44 minutes later)

Brief Answer:
IT IS NORMAL

Detailed Answer:
Hi,

Right then, just before your cycle, the thickness is normal.

Do not worry.

Regards,

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. Raju A.T