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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Uterus Is Bulky In Size With Adnexal Cyst Mean?

Hi i hve had an ultrasonograpy yesterday. I m expecting tht i m pargnent.but in my report,it says tht uterus is bulky in size(95×57×59mm) a tyny gestational sac like structure merure about 4.4mm is seen in the endometrim.i hve also left adnexal cyst(endometriotic) wichh is about 26×20mm with internal echogenic debri..
What does it mean.m i not pregnent.
Thu, 11 Jun 2015
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Radiologist,  's  Response
Hello, thanks for writing in.
A bulky uterus is a non-specific term to denote a large size. It is seen in pregnancy and many other non-pregnant conditions.

The small gestational sac like structure in the uterus may suggest a very early pregnancy, where the only thing to appear is the sac.
Morphology is important as well- If the sac is round and has a good echogenic ring around it, its an early but normal appearance of the sac.

I would suggest a followup in a 1-2 weeks to see sac growth and appearance of embryo and yolk sac.

The cyst in the left adnexa is of ovarian origin- is mentioned to be endometriotic. It is small in size do not worry about it.
Ovarian cysts with echoes can also be hemorrhagic cysts or corpus luteal cysts. They just need monitoring on followup scans.

It is also important to know when was your last period, as there should not be a big disparity between menstrual age and ultrasound age.
Do not worry, a followup scan will be more informative.
Hope this is helpful. All the best.

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What Does Uterus Is Bulky In Size With Adnexal Cyst Mean?

Hello, thanks for writing in. A bulky uterus is a non-specific term to denote a large size. It is seen in pregnancy and many other non-pregnant conditions. The small gestational sac like structure in the uterus may suggest a very early pregnancy, where the only thing to appear is the sac. Morphology is important as well- If the sac is round and has a good echogenic ring around it, its an early but normal appearance of the sac. I would suggest a followup in a 1-2 weeks to see sac growth and appearance of embryo and yolk sac. The cyst in the left adnexa is of ovarian origin- is mentioned to be endometriotic. It is small in size do not worry about it. Ovarian cysts with echoes can also be hemorrhagic cysts or corpus luteal cysts. They just need monitoring on followup scans. It is also important to know when was your last period, as there should not be a big disparity between menstrual age and ultrasound age. Do not worry, a followup scan will be more informative. Hope this is helpful. All the best.