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What Does This Ultrasound Report Specify?
Hello Dr, My mom has been diagnosed with A large mixed echogenic lesion of 60*39 mm with internal calcification and posterior acoustic shadow seen in pouch of douglas without any internal vascularity. Mild free fluid seen in pouch of douglas. I have no idea what does this exactly mean. If you can please explain this in layman language. Does the treatment for this involve surgery or a therapy? Thanks Neha
Tue, 2 May 2023
Hi,
The ultrasound report you mentioned describes a finding of a large mixed echogenic lesion in the pouch of Douglas, which is a space located between the rectum and uterus in the female pelvis. The lesion measures 60*39 mm and contains internal calcifications, which are deposits of calcium within the tissue. The report also mentions that there is a posterior acoustic shadow, which means that the lesion is blocking the passage of sound waves, making it difficult to see beyond it on the ultrasound. Finally, the report notes the presence of mild free fluid in the pouch of Douglas, which is a normal finding in many women.
The term "mixed echogenic lesion" refers to a mass or abnormality in the tissue that has varying degrees of brightness or echogenicity on the ultrasound. This can be caused by several things, including cysts, tumors, or other growths.
The fact that there is no internal vascularity means that there is no blood flow within the lesion, which can help rule out certain types of tumors or other growths that require blood flow to survive. The treatment for this finding will depend on several factors, including the size and location of the lesion, as well as the overall health of the patient.
In some cases, surgery may be recommended to remove the lesion, especially if it is causing pain or discomfort. In other cases, a "watch and wait" approach may be recommended, where the patient is monitored over time to see if the lesion grows or changes in any way. In some cases, hormonal therapy may also be recommended to help shrink the lesion or prevent it from growing.
It's important to note that every patient is unique, and the treatment plan will be tailored to your mother's specific needs and medical history. It's important to follow up with her healthcare provider to discuss the findings and recommendations further. They will be able to provide more detailed information about what this finding means for her and what the best course of action will be.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
The ultrasound report you mentioned describes a finding of a large mixed echogenic lesion in the pouch of Douglas, which is a space located between the rectum and uterus in the female pelvis. The lesion measures 60*39 mm and contains internal calcifications, which are deposits of calcium within the tissue. The report also mentions that there is a posterior acoustic shadow, which means that the lesion is blocking the passage of sound waves, making it difficult to see beyond it on the ultrasound. Finally, the report notes the presence of mild free fluid in the pouch of Douglas, which is a normal finding in many women.
The term "mixed echogenic lesion" refers to a mass or abnormality in the tissue that has varying degrees of brightness or echogenicity on the ultrasound. This can be caused by several things, including cysts, tumors, or other growths.
The fact that there is no internal vascularity means that there is no blood flow within the lesion, which can help rule out certain types of tumors or other growths that require blood flow to survive. The treatment for this finding will depend on several factors, including the size and location of the lesion, as well as the overall health of the patient.
In some cases, surgery may be recommended to remove the lesion, especially if it is causing pain or discomfort. In other cases, a "watch and wait" approach may be recommended, where the patient is monitored over time to see if the lesion grows or changes in any way. In some cases, hormonal therapy may also be recommended to help shrink the lesion or prevent it from growing.
It's important to note that every patient is unique, and the treatment plan will be tailored to your mother's specific needs and medical history. It's important to follow up with her healthcare provider to discuss the findings and recommendations further. They will be able to provide more detailed information about what this finding means for her and what the best course of action will be.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
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