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What Does "adnexal Abnormality" Mean In A Ultrasound Report?

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Posted on Fri, 12 Dec 2014
Question: what does adnexal abnormality mean in a ultrasound and is it bad if the left ovary has only 0.9cc..
also there was no free fluid was seen
doctor
Answered by Dr. Timothy Raichle (7 minutes later)
Brief Answer:
Adnexa = ovary + tube

Detailed Answer:
The 'adnexa' commonly refers to the structures at the side of the uterus that includes the ovary, tube and suspensory ligaments that hold these structures in place and together. So, when an ultrasound reads "adnexal abnormality" it is saying that there is something in the area of the tube / ovary that is abnormal. This might be an ovarian cyst, cysts or dilation of the tube, or fluid on that side around the tube and ovary. If the left ovary has a volume of 0.9cc, this is very small / normal. Even if this was describing a cyst, it would be considered very small and normal. Free fluid is not an uncommon finding, but when it is absent, this is a normal finding.

Please let me know if this helps!

Dr. Raichle
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Timothy Raichle (11 minutes later)
They also said that they couldn't see the right ovary. My doctor said it could be ovarian cancer could this be right. It was very painful on both sides when they done an transvaginal the pain was 10 out of 10 on right side and 9 out of 10 left side.
doctor
Answered by Dr. Timothy Raichle (2 minutes later)
Brief Answer:
I would need more details

Detailed Answer:
Is there any way you can get me more details? What did they see on the side that was abnormal? If you have the report, can you type in any of the details for me?

Dr. Tim
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Timothy Raichle (13 minutes later)
Report
Transabdominal and transvaginal scans have been performed. The patient has had a hysterectomy.
Right ovary was not seen. There is no right adnexal abnormality but the patient is tender in this region.
Left adnexa was also tender to probe pressure. The left ovarian volume is 0.9cc.
No free fluid was seen.
This is what my report says.
doctor
Answered by Dr. Timothy Raichle (2 hours later)
Brief Answer:
Normal

Detailed Answer:
So basically, you had a prior hysterectomy and they could not see the right ovary, and the left ovary was small with no free fluid in the pelvis. This is NOT how ovarian cancer presents. Based on this scan, that is a bad theory. Regardless, though, I am unable to examine you myself and I cannot see the pictures. One thought is to have them draw a lab called CA-125, which if normal, argues against ovarian cancer.

Dr. Tim
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
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Answered by
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Dr. Timothy Raichle

OBGYN

Practicing since :1999

Answered : 1687 Questions

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What Does "adnexal Abnormality" Mean In A Ultrasound Report?

Brief Answer: Adnexa = ovary + tube Detailed Answer: The 'adnexa' commonly refers to the structures at the side of the uterus that includes the ovary, tube and suspensory ligaments that hold these structures in place and together. So, when an ultrasound reads "adnexal abnormality" it is saying that there is something in the area of the tube / ovary that is abnormal. This might be an ovarian cyst, cysts or dilation of the tube, or fluid on that side around the tube and ovary. If the left ovary has a volume of 0.9cc, this is very small / normal. Even if this was describing a cyst, it would be considered very small and normal. Free fluid is not an uncommon finding, but when it is absent, this is a normal finding. Please let me know if this helps! Dr. Raichle