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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Ultrasound Showed The Endometrium Is Thickened And Hyperechoic. What Does This Mean?

hi! my wife is pregnant around 4-6 weeks (not sure yet).. we just had an ultrasound 2 days ago.
please help me with this findings..

I. uterus 5.76 x 4.99 x 5.63 anteverted
myoma "none"
adenomyosis "none"
II. endometrium thick 1.72 cm. hyperechoic
compatible width: phase of menstrual cycle
abnormalities: the endometrium is thickened and hyperechoic, probably decidualized.
III. adnexae:
right ovary 3.40 x 1.88 x 2.62 cm.
located: lateral
dominant follicle: 0 cm.
abnormalities noted: within the right ovary is a thin walled, unilocular cystic structure with crenated borders and ring of fire on color, measuring 1.514 x 1.22 cm. suggestive of corpus luteum.
left ovary 0 x 0 x cm.
located: lateral
dominant follicle: 0 cm.
abnormalities noted: the left ovary was not visualized. There is a complex mass seen within the left adnexa measuring 2.94 x 2.93 x 2.74 cm. with a unilocular cystic structure within, with crenated borders measuring 1.53 x 1.44 cm. Extrauterine gestation cannot be totally ruled out.
IV. Cervix: 2.93 x 2.24 x 2.17 cm no nabothian present.
V. Others: No free fluid in cul de sac
DIAGNOSIS:
normal sized anteverted uterus
thickened endometrium, probably decidualized
normal right ovary with corpus luteum
left ovary not visualized
left adnexal mass as described
in the light of a positive pregnancy test, an empty uterus and an adnexal mass, extrauterine gestation cannot be ruled out.
suggest correlation with clinical findings, serum beta HCG and serial scanning for evaluation of the left adnexal mass.
Tue, 28 May 2013
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OBGYN 's  Response
Hello.
Thanks for writing to us.
The thickened endometrium is suggestive of the endometrial preparation for the implantation of the pregnancy. It is right now too early to detect a pregnancy sonologically. You can go for a blood test to confirm the same.
I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Regards,
Dr. RakhiTayal
drrakhitayal@gmail.com
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Pregnant. Ultrasound Showed The Endometrium Is Thickened And Hyperechoic. What Does This Mean?

Hello. Thanks for writing to us. The thickened endometrium is suggestive of the endometrial preparation for the implantation of the pregnancy. It is right now too early to detect a pregnancy sonologically. You can go for a blood test to confirm the same. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal Regards, Dr. RakhiTayal drrakhitayal@gmail.com