Hi, Thanks for posting in HCM. I understand your concern. What ultrasound report you have posted suggests that the uterus and enlarged and appears cloudy could be due to endometriosis. However, it would be always better to confirm the diagnosis by doing a endometrial biopsy and subjecting the material by histopathology process. In case if the histopathology report suggests any other findings, other mode of treatment should be instituted and followed up, apart from doing hysterectomy. Kindly follow the suggestions and guidelines as given by your doctor. Hope the information provided would be helpful. All the best.