I have gone through your ultrasound
report. First thing you didn't mention your age and your symptoms.
Why you need to get an scan done?
Regarding the interpretation of the ultrasound report, the echogenic structure might be an endometrial polyp
or it can be cystic glandular hyperplasia
of the endometrium. Anyways our prime concern is to rule out endometrial pathology mainly endometrial cancer
. For that the endometrium should be sent for Histopathology study.
You need to consult your gynecologist immediately and she may plan a Dilatation and Curettage
procedure for you. In this procedure the endometrium is curetted and will be sent for histopathology study. Depending on the Histopathology study report the management varies.