Question: Hi,
I was told I had a complex cyst by transvaginal ultrasound in July (that was previously a simple cyst in April) by my regular gynecologist. I was sent to a gynecologist oncologist and had a CAT scan (abdominal and pelvic) and the report said it was a simple cyst. Then 3 weeks later on 9/27/12, I had a second opinion from a different gynecologist oncologist via another transvaginal ultrasound. I was again told it was a simple cyst. I've asked this question before on here but would just like to ask again just to get a couple opinions. I've attached several photos of the 9/27/12 ultrasound and the ultrasound report as well. To me this photo looks like the cyst has a septation in it off to the right side. If this is the case, I thought this would be called a complex cyst but I have been told now twice by two different oncologist gynecologists that it's a simple cyst (again based on the CAT scan and 3 weeks later, the ultrasound). The report does say there is adjacent fluid next to the cyst so perhaps what I'm thinking is a septation is the wall of the cyst and then the fluid next to it.
The cyst causes me mild pain but sometimes I have a week or longer where I feel no pain whatsoever.I can post more ultrasound pictures if needed as I believe there were about 60+ different images.

Hi, Thanks for your reply. They took many photos during ultrasound and my question to you is, would the radiologist be able to distinguish the difference between a septation versus something like refraction or cyst wall by looking at the images? I am assuming they look at all the images and can tell the difference between a septation versus something else....they would likely not make a mistake by calling this a simple cyst if it were complex, correct?