What Does This Ultrasound Report Of Abdomen Indicate?

Posted on Fri, 20 May 2016

Question: My wife 34yrs this month period stopped with in 2-day normally 4-5 days
then some white discharged then
we consult Gyneocologist she observed cervix by hand
prefer for Ultrasound scan of abdomen
some findings noticed below :
: Cerix - Hypertrophied
Overies      RO: 3X1.6cm - Normal No mass lesions
     LO: 4.6X3.6cm - Cystic lesion noted with thin internal
          Septa in LO measuring 4X3.8cm,
          no septa no solid Nodule

NO ADNEXIAL MASS LESIONS.
NO FREE FLUID IN ABDOMEN / PELVIS
Both illiac fossa - Normal
Aorta/IVC Normal, No Lymphadenopathy

IMPRESSION: 4X=x3.8cm, Left ovarian cystic lesion with thin internal septa
          - Hypertrophied cervix

          "Suggested clinical correlation"

------------
Blood:
Haemoglobin : 8.6gms%
Total WBC count: 8,700 cells/cumm

XXXX
Thanks in advance
ID: YYYY@YYYY

Answered by Dr. Dr. Soumen Patra (1 hour later)

Brief Answer:
Need complete evaluation. Do necessary tests for treatment.

Detailed Answer:
Hello,

Thanks for writing to us.

I have reviewed all attached reports. Followings are my comments:

1) Hemoglobin level 8.6 gm% indicates MILD degree ANEMIA and its level should be at least 12 gm%.

IRON supplement should be continued for at least 3-4 months. She must take a balanced diet, rich in protein and iron. Foods are to be included egg, meat, liver, peas, green vegetables, beans, jaggery, figs, banana, whole wheat etc.

IRON injection can be given to increase hemoglobin percentage and body iron store. IRON SUCROSE or DEXTRAN injection is mostly preferred in that case.

2) Hypertrophied cervix means larger thickened cervix which is seen in cases of chronic cervicitis or erosion, HPV infections, cervical dysplasia or cancer etc.

Pap smear and biopsy should be done to rule out HPV infection. Colposcopy may be required according to test results. Do one STD profile also.

3) Just 2 days short or scanty periods or extremely light menstrual blood flow is known as hypomenorrhea.

Underlying cause could be ovarian cyst (medium size), anemia, pelvic or vaginal infection, thyroid disorder, high prolactin level, mental stress, over weight or sudden loss etc.

I would order to undergo complete hormone profile including LH/ FSH, estrogen, progesterone, thyroid profile, serum prolactin, insulin etc.

Hormonal therapy may be required according to test result to improve period cycle. Other specific treatment should be given after consultation with your treating doctor.

Hope, I have answered your query. Wish her good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards.

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Above answer was peer-reviewed by : Dr. Naveen Kumar