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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Intramural Fibroid Seen Anteriorly And A Thick Walled Cystic Structure In The Right Ovary Treatable?

US TRANSABDOMINAL / TRANSVAGINAL - Details Printer friendly page--New window will open About This Test Details Study Result Impression Small anterior fibroid. No specific submucosal fibroids are seen. Uterus has a somewhat marginal/arcuate configuration Presumed right crenated follicle Attending: Joy Sclamberg on 02/13/2017 2:17 PM Narrative EXAM: US TRANSABDOMINAL / TRANSVAGINAL, 2/13/2017 2:10 pm HISTORY: r/o leiomyoma Visit for gynecologic examination COMPARISON: None TECHNIQUE: Transabdominal and endovaginal images were obtained. FINDINGS: Transabdominal images show the urinary bladder to be partially distended and otherwise unremarkable. The uterus is anteverted measuring 9.1 x 4.7 x 6.0 cm. Ovaries are not well seen transabdominallyOvaries have a grossly unremarkable transabdominal appearance. No adnexal mass lesions are seen. Transvaginal imaging was performed for better assessment of the endometrium and ovaries. A small intramural fibroid seen anteriorly measures about 0.9 cm. The uterus has a somewhat marginal/ arcuate configuration. The endometrium is normal in thickness measuring 8 mm. There is trace free fluid in the cul de sac which is within physiologic range The right ovary measures 3.2 x 2.2 x 2.5 cm and contains a thick walled cystic structure measuring 2.6 cm with peripheral flow suggestive of a crenated follicle. Left ovary measures 2.9 x 1.4 x 1.4 cm. Component Results There is no component information for this result. General Information Collected: 02/13/2017 2:10 PM Resulted: 02/13/2017 2:18 PM Ordered By: Joseph M Maurice, MD Result Status: Final result..I COPIED AMD PASTED MY EXACT TEST RESULTS FROM MY CHART PROFILE WITH RUSH HOSPITAL, IN CHICAGO... I HAVE HAD A REMOVAL OF AN ENDOMETRIOD IN DECEMBER, 2008..-AND A MAJOR MYOMECTOMY IN JANUARY, 2015. BOTH HAS BEEN TO MY RIGHT SIDE. MUCH INTRUSION HAS TAKEN PLACE ON MY RIGHT SIDE. ALSO, I HAVE ENDOMETRIOSIS. I HAVE BEEN IN INCREASING PAIN TO ME LOWER RIGHR SIDE. PLEASE HELP ME TO INTERPRET THESE TEST RESULTS. I GO BACK TO SEE MY DOCTOR ON MARCH 8,2017...FOR A FOLLOW UP. I AM EXTREMELY CONCERNED ABOUT THIS ONGOING PAIN.
Mon, 17 Sep 2018
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General & Family Physician,  's  Response
Hi, thanks for your question. Hope I'm not late already. Your ultrasound report has two significant findings in it. First is that you have a small fibroid in your uterus. Considering that you have been operated before for fibroids I presume it's either very small or a new one. With this size it's not a major concern though, unless it grows. Second, you have a cyst in your right ovary, which might be an endometroid cyst (as you have history of endometriosis). Ideally it should be taken out and biopsied to confirm. As of your pain, it could either be due to endometriosis or due to the surgery that you had on this side. In either case you have to see your doctor for management. Good luck.
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Are Intramural Fibroid Seen Anteriorly And A Thick Walled Cystic Structure In The Right Ovary Treatable?

Hi, thanks for your question. Hope I m not late already. Your ultrasound report has two significant findings in it. First is that you have a small fibroid in your uterus. Considering that you have been operated before for fibroids I presume it s either very small or a new one. With this size it s not a major concern though, unless it grows. Second, you have a cyst in your right ovary, which might be an endometroid cyst (as you have history of endometriosis). Ideally it should be taken out and biopsied to confirm. As of your pain, it could either be due to endometriosis or due to the surgery that you had on this side. In either case you have to see your doctor for management. Good luck.