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What Does This Transvaginal Ultrasound Report Indicate?

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Posted on Thu, 29 Oct 2015
Question: My daughter (37 yo) had a transvaginal sonogram and results show a " non specific hyperechoic nass towards the fund us of the uterus in close proximity to the right ovary. It measures 2.6x2.6x2.2 cm. The mass demonstrates posterior acoustic shadowing without suspicious vascularity".

Right ovary measures approx 2.4x2.3x1.5.
They also found a cyst on her right ovary measuring 1.7 cm and on other cyst in the left ovary measuring 2.3cm. Left ovary measures
3.4x2.8x2.8cm.

The report impression indicates:
1. Bilateral ovarian cysts
2. Indeterminate hyperechoic mass in close proximity to right ovary towards the fund us of the uterus. This could represent a right ad exam dermoid.
3. Further evaluation with CT scan versus MRI of the pelvis with contrast is recommended.

Can you explain what this means and what are the consequences.

Thank you.
doctor
Answered by Dr. Jacqueline Brown (2 hours later)
Brief Answer:
Your daughter may have a benign ovarian cyst

Detailed Answer:
Hello, and I hope I can help you today.

I first want to reassure you that there is nothing on this ultrasound report to indicate cancer or anything else life-threatening.

I do not know why your daughter had her pelvic ultrasound, but the report basically says that your daughter has an area next to her ovary that looks like it might be a type of ovarian cyst called a Dermoid cyst. Dermoid cysts are the most common benign ovarian cysts not due to hormones. The posterior acoustic shadowing just means that the back of the cyst may be a solid material, which is consistent with their typical appearance on ultrasound.
However, a CT scan or an MRI would be a better test to make a diagnosis.

So in summary, your daughter may have a right benign ovarian cyst called a Dermoid.
There is plenty of information on the Internet about Dermoid cysts but please let me know and I would be happy to discuss it further with you. But typically, if the cyst is less than 5 cm in size, most GYN doctors would not recommend removing it.

I hope I adequately answered your question today. Please do not hesitate to contact me again if you need further clarification.

Best wishes, Dr. Brown
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. Jacqueline Brown

OBGYN

Practicing since :1996

Answered : 1425 Questions

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What Does This Transvaginal Ultrasound Report Indicate?

Brief Answer: Your daughter may have a benign ovarian cyst Detailed Answer: Hello, and I hope I can help you today. I first want to reassure you that there is nothing on this ultrasound report to indicate cancer or anything else life-threatening. I do not know why your daughter had her pelvic ultrasound, but the report basically says that your daughter has an area next to her ovary that looks like it might be a type of ovarian cyst called a Dermoid cyst. Dermoid cysts are the most common benign ovarian cysts not due to hormones. The posterior acoustic shadowing just means that the back of the cyst may be a solid material, which is consistent with their typical appearance on ultrasound. However, a CT scan or an MRI would be a better test to make a diagnosis. So in summary, your daughter may have a right benign ovarian cyst called a Dermoid. There is plenty of information on the Internet about Dermoid cysts but please let me know and I would be happy to discuss it further with you. But typically, if the cyst is less than 5 cm in size, most GYN doctors would not recommend removing it. I hope I adequately answered your question today. Please do not hesitate to contact me again if you need further clarification. Best wishes, Dr. Brown