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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Ultrasound Scan Report Indicate?

Hello, I m 38 years old, I have two children ( C section), I m Diabetic Type 1 ( Insulin Dependent) and I had a pelvic ultrasound and transvaginal as well. The findings were as follows: 1. The uterus is heterogeneous and retroverted measuring 9.4 X 5.6 X 6.7 CM. 2. The endometrial double thickness measures 1.0 CM. 3. Uterine fibroids measuring 1.2 CM, 2.1 CM, and 2.7 CM in maximum dimension repectively. 4. There is a 0.4 CM nabothian cyst along the cervix. 5. Left ovarian complex lesions measuring 3.6 CM and 2.1 CM. These may represent hemorrhagic cysts. A more aggressive etiology cannot be reliably excluded. Close interval follow up recommended. I m really confused about this. I m worried about the hemorrhagic cyst and more so about the endometrial double thickness. I m worried that I may have Cancer. My obgyn told me that I needed to get an endocervical procedure. Can you please help me?
Thu, 18 Jun 2015
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Radiologist,  's  Response
Hello, thanks for writing in.
I have read your report and understand your concern.
Endometrial thickness varies with phases of the menstrual cycle every month, hence with the details of only your report, it is difficult to say if its is normal or borderline high.
Apart from thickness, the morphology and history of bleeding is important as well.
An endometrial biopsy is definite because ultrasound cannot reliably differentiate benign and malignant thickening.

The left ovarian lesions possibly hemorrhagic cysts are most likely nothing to worry about. Most small (A blood test maybe done if there is a doubt of malignancy eg CA-125.

The fibroids and Nabothian cyst are small, nothing to worry about.

I would recommend you keep a watch on the ovarian lesions by serial ultrasound.
You can ask your doctor about your options for managing the endometrial thickness and need for sampling vs watchful waiting.
Hope this is helpful.
Take care.


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What Does My Ultrasound Scan Report Indicate?

Hello, thanks for writing in. I have read your report and understand your concern. Endometrial thickness varies with phases of the menstrual cycle every month, hence with the details of only your report, it is difficult to say if its is normal or borderline high. Apart from thickness, the morphology and history of bleeding is important as well. An endometrial biopsy is definite because ultrasound cannot reliably differentiate benign and malignant thickening. The left ovarian lesions possibly hemorrhagic cysts are most likely nothing to worry about. Most small (A blood test maybe done if there is a doubt of malignancy eg CA-125. The fibroids and Nabothian cyst are small, nothing to worry about. I would recommend you keep a watch on the ovarian lesions by serial ultrasound. You can ask your doctor about your options for managing the endometrial thickness and need for sampling vs watchful waiting. Hope this is helpful. Take care.