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What Does This Report Mean After A Transvaginal Ultrasound? Uterus

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Posted on Fri, 2 Nov 2018
Question: What does this report mean after a transvaginal ultrasound? Uterus is heterogeneous with barricaded shadowing without focal mass. There are no uterine masses. Endometrium measures 1.6cm without evidence for endometrial mass.. No free pelvic fluid or abnormal adnexal masses (59 years, postmenopausal 1.5 years)
doctor
Answered by Dr. Dr. Rakhi Tayal (5 hours later)
Brief Answer:
Almost a normal report.

Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns,

The ultrasound report suggests an uneven texture of uterus with no specific mass/lesion in the uterus or endometrium.

This is apparently a normal report in a postmenopausal woman. The endometrial thickness of 1.6 cm is slightly on a higher side. It is best to get an endometrial biopsy done to rule out any other pathology.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, I shall be glad to help you out.

For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Wishing you good health.
Regards.
Dr Rakhi Tayal

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Rakhi Tayal (46 minutes later)
What is the barricaded shadowing?

Why is this "apparently a normal report in a post menopausal woman?" I understood it was abnormal.

Does the chance of cancer go up with with the increase in endometrium measurement? 1.6cm (significantly greater than it should be post-menopause) is a good deal higher than the 5mm cut-off wherein additional tests are advised.

Thank you
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Details below.

Detailed Answer:
Hello.
Thanks for writing again.
A barricaded shadowing suggests an uneven texture of the uterine musculature without any specific mass present.
It can be related to degenerative changes or calcification.
The normal range of endometrial thickness can be 8-11mm at your age. The thickness of endometrium is slightly higher which needs a biopsy to rule out pregnancy. Still the chances of cancer with this thickened endometrium is less than 10%.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Rakhi Tayal (35 minutes later)
I am surprised at your answer that even though I am 59 and post menopausal, the normal range of endometrial thickness can be 8-11mm. Also, why would I need a biopsy to rule out PREGNANCY? Please explain and thank you.
doctor
Answered by Dr. Dr. Rakhi Tayal (10 hours later)
Brief Answer:
It was a typing error. I meant malignancy.

Detailed Answer:
Biopsy is needed to rule out endometrial malignancy. Sorry it was a typing error. At your age the chances of getting a malignancy with thickness of endometrium less than 11mm with no other symptoms like irregular bleeding are less than 5%.
There is no need to be alarmed. You can plan for endometrial biopsy after consulting your gynecologist.
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. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14050 Questions

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What Does This Report Mean After A Transvaginal Ultrasound? Uterus

Brief Answer: Almost a normal report. Detailed Answer: Hello, Thanks for posting your query. I have gone through your query and understand your health concerns, The ultrasound report suggests an uneven texture of uterus with no specific mass/lesion in the uterus or endometrium. This is apparently a normal report in a postmenopausal woman. The endometrial thickness of 1.6 cm is slightly on a higher side. It is best to get an endometrial biopsy done to rule out any other pathology. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, I shall be glad to help you out. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal Wishing you good health. Regards. Dr Rakhi Tayal