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What Does This Ultrasound Report Indicate?

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Posted on Fri, 26 Dec 2014
Question: hello..

i wanted to know about my ultrasound reports

the report states as below:

UTERUS IS ANTEVERTED, NORMAL IN SIZE WITH UTEROCERVICAL LENGTH OF 7 CM & MEASURING 5.7 CM X 4.2 CM.

MYOMETRIL ECHOES APPEAR NORMAL; NO SIGNIFICANT SOL SEEN

ENDOMETRIAL THICKNESS IS 5.2 MM IN FUNDIC REGION

NO SIGNIFICANTENDOMETRIAL CONTENTS DEMONSTRABLE

REGION OF CERVIX APPEARS NORMAL IN SIZE & ECHOTEXTURE

NO ECTO OR ENDOCERVICAL SOL SEEN


RIGHT ADNEXAL IS BULKY, TENDER WITH DIFFUSELY DILATED THICKENED RIGHT FALLOPIAN TUBE MEASURING 7MM IN CALIBER..INTERNAL ECHOES..HIGH PROTEINACOUS SECRETIONS A RE NOTTED WITH LUMEN. FIMBRIAL END IS THICKENED, VASCULAR WITH ALMOST 23X18 MM SOL LIKE APPEARANCE ADHERENT TO SURFACE OF OVARY..INFLAMMATORY ETIOLOGY IS LIKELY ..HOWEVER ECTOPIC CANNOT BE ENTIRELY EXCLUDED

BOTH OVARIES APPEAR BULKY IN SIZE WITH LEFT OVARY IN POD

STROMAL HYPERPLASIA SUGGESTIVE OF POLYCYSTIC PATTERN NOTED
2-3 MM IN SIZE AND 10-12 IN NUMBER ANTRAL FOLLICLES SEEN ON EITHER SIDE

NO SIGNIFICANT LEFT ADNEXAL SOL SEEN
RO MEASURES 3.2X3X2 CM WITH VOL OF 9.8CC
LEFT OVARY MEASURES 3X3.4X3 CM WITH VOLUME OF 7.3CC


NO FREE FLUID IS SEEN IN POD

ADV::: B HCG CORRELATION /REVIEW SCAN AS INDICATED
doctor
Answered by Dr. Soumya (7 minutes later)
Brief Answer:
Ectopic pregnancy or hydrosalpinx

Detailed Answer:
Hi

I read your query and I understand your concerns.

Following is my reply:

1) Your right fallopian tube is bigger which occurs in 2 conditions.

2) First is ectopic pregnancy. There could be pregnancy growing in fallopian tubes instead of uterus. If you have missed your periods then there is more chance of ectopic pregnancy.

3) Please get serum beta hCG blood test immediately. If test shows pregnancy you will need immediate surgery to remove tubes.

4) Secondly, if serum beta hCG blood test is negative, this could be hydrosalpinx, meaning infection of the tubes leading to collection of pus and hence enlargement.

5) Please send me serum beta hCG report so that I can advice further.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Soumya (45 minutes later)
MAM CAN YOU PLEASE TELL ME IN EASY WORDS

PLEASE EXPLAIN TO ME

WHAT WILL B THE CAUSES

AND WHY IT OCCURED

I WILL GET THE HCG REPORT TOMORROW

THE RECEPTIONIST TOLD THAT SHE WILL MAIL ME IN EVENING

BUT I HAVEN'T RECIEVED YET

doctor
Answered by Dr. Soumya (1 hour later)
Brief Answer:
Details about ectopic pregnancy

Detailed Answer:
Hi

When pregnancy occurs, normally the baby should grow in the uterus ( womb).

Due to small variations in anatomy of tubes, the baby starts growing in fallopian tubes which are meant only for passage of egg and not for baby growth.

It is difficult to say why it occurred.

If baby starts growing in fallopian tubes, its called ectopic pregnancy which ruptures eventually and causes life threatening complication including death due to bleeding from fallopian tubes.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Soumya (12 hours later)
i uploaded the hcg report

plz mam describe me

because as i see its the lowest value

OBSERVED VALUE IS BELOW 1.2
doctor
Answered by Dr. Soumya (1 hour later)
Brief Answer:
Possibility of hydrosalpinx

Detailed Answer:
Hi

There is good news and bad news.

Good news is that you don't have ectopic pregnancy. You are safe.

Now the enlarged fallopian tube as per ultrasound scan report is probably hydrosalpinx and not ectopic.

Hydrosalpinx needs to be confirmed by doing laparoscopy and removed as it is reason for infertility and pelvic inflammatory disease.
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. Prasad
doctor
Answered by
Dr.
Dr. Soumya

OBGYN

Practicing since :2010

Answered : 3106 Questions

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What Does This Ultrasound Report Indicate?

Brief Answer: Ectopic pregnancy or hydrosalpinx Detailed Answer: Hi I read your query and I understand your concerns. Following is my reply: 1) Your right fallopian tube is bigger which occurs in 2 conditions. 2) First is ectopic pregnancy. There could be pregnancy growing in fallopian tubes instead of uterus. If you have missed your periods then there is more chance of ectopic pregnancy. 3) Please get serum beta hCG blood test immediately. If test shows pregnancy you will need immediate surgery to remove tubes. 4) Secondly, if serum beta hCG blood test is negative, this could be hydrosalpinx, meaning infection of the tubes leading to collection of pus and hence enlargement. 5) Please send me serum beta hCG report so that I can advice further.