Get your Health question answered in 3 easy steps

132 Doctors Online
Owl Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does my pelvic ultrasound report indicate while having persistent irregular menstrual bleeding?

Answered by
Owl Image
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6000 Questions

Question
I have been having irregular menstrual bleeding for the past year. Gyn found polyp during pap. Ordered Ultrasound. Please translate this ultrasound report into human language because I don't understand any of it. Thx. EXAMINATION: Ultrasound pelvis. CLINICAL HISTORY: Irregular menstruation with vaginal bleeding.. COMPARISON: 5/30/2008 ultrasound FINDINGS: Transabdominal, transvaginal ultrasound exam of the pelvis. Examination with fluid-filled bladder. Transabdominal: Uterus is homogeneous echotexture. The uterus approximately 7.4 x 3.6 x 4.3 cm sagittal plane. Endometrial thickness of 6.9 mm. Free fluid posterior to the mid body of the uterus is present. Decreased echogenicity left ovary from cyst is present. Left ovary measuring 4.3 x 2.7 x 3 cm. Cyst measuring 3.2 x 1.6 x 2.1 cm. Doppler blood flow to the ovary is present. Right ovary unremarkable for solid or cystic masses from this approach. The right ovary approximating 1.7 x 1.2 x 1.3 cm. Transvaginal: Homogeneous echotexture of the uterine myometrium is present. There is a massive lower uterine signal abutting the N XXXXXXX cavity adjacent to the endocervix. The mass measuring 2 x 1.42 cm. Distortion of the endometrial cavity is present at the lower uterine segment. Right ovary unremarkable for solid or cystic masses. From this approach estimate 2 x 1.2 x 1.3 cm. Doppler blood flow is present. Left ovary measuring 4.2 x 2.9 x 2.6 cm with Doppler blood flow. Hypoechoic complex mass measuring 2.9 x 2.2 x 1.7 cm. IMPRESSION: 1. Lower uterine segment mass is present resulting endometrial distortion. Differential diagnosis to include uterine fibroid with further assessment to exclude remote possibility of a endocervical neoplasm. 2. Complex left ovarian mass with internal echoes with differential diagnosis hemorrhagic cyst, endometrioma. Short-term follow-up evaluation to exclude neoplasm radiology is recommended. The 2008 exam did show a dominant cyst of the left ovary.
Fri, 12 Jan 2018 in Women's Health
 
 
Answered by Dr. Aarti Abraham 1 hour later
Brief Answer:
Need the uploaded report.

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
Please upload the exact ultrasound report with images, not this report that has been typed or copy pasted.
IT is important for me that you should upload the exact images and report, so that I can explain you in a better manner.
Also, what is the Pap smear report ?
Upload that as well.
All the best.
Please feel free to discuss further.
Apart from irregular menstrual bleeding, is there any other problem or issue ?
Since when have periods been irregular ?
Do you have any children ?
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by
 
Follow-up: What does my pelvic ultrasound report indicate while having persistent irregular menstrual bleeding? 6 hours later
I sent you exactly what I have. I copied the exact text. I do not have imaging nor pap test results.

I'm looking for you to translate the info in the report I sent you into laymen's terms.
 
 
Answered by Dr. Aarti Abraham 26 hours later
Brief Answer:
As below

Detailed Answer:
The report shows a mass or a lump near the mouth of the uterus..
This could be a simple or cancerous tumour.
It is difficult to differentiate based on ultrasound.
There is a cyst in the ovary but that is same as previously found and not worrisome.
My recommendation is to go ahead and have an MRI scan done to know further details of the lump.
All the best
Please feel free to discuss further
Above answer was peer-reviewed by
 
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests
Medical Topics ,  

Recent questions on Uterine fibroid

doctor1 MD

Hello, I am 26 weeks pregnant and I have fibroids. I have started to notice blood in my urian. I have had test done for UTI and kidney Stones, both came back that i did not have neither. I was wondering if my fibroids can cause blood to be in the urian?

doctor1 MD

I have had two recent occasions of urinating myself. I am only 45. I feel the need to go to the bathroom and make a mental note to find a bathroom only to find that it becomes incredibly urgent and I can't move. I then wet myself and I can even be in public . I was just told I have some fibroids - could this be the reason?

doctor1 MD

I have been having pain in the left abdomen near left side rib cage. I have been having periodic pain in the same location for the past year. I have had MRIs' CAT scans, endoscopy and colonoscopy. The only thing they could find is polyps in the stomach and irritation in the stomach. I have been on Dexilent for a few weeks and thought it was getting better. Then I had the worst bout yet. extreme abdomen pain with 101 fever. I went to the E.R.

and they gave me Cipro and pain relievers and sent me home. I have been having pain now on the left side especially the left side of my head and down the side of my throatand my left eye is really red. No one seems to have answers. I have been to many specialists in Baylor In Houston and all have given up on an answer. I am extremely nausated and having a hard time eating and the pain seems to be radiating down towards the lower left side. 6 months before I had this problem I had my uterus removed due to several fibroids growing larger and painful. Do you have any suggestions of any test that could be ran or what this might be? Thanks so much!

Joanne Hogan

doctor1 MD

Hi, Ny daughter Paige is now 4, and has had a massive splenomegaly since birth that doctors, paediatricins cannot find a cause for. She had a chronic cough for 3 years, and mucous poos which a natural therapist has succesfullt treated as leaky bowel . She has recently had chronic bleeding nose and her cuts and sores are healing slowly and looking inflamed. her spleen is 21cm and she has occasional hepatomegaly. She has been tested for everything including parasitic involvement. All her siblings are healthy. serology shows that she has had both CMV and Epstein-barr, but the haemotologist says that it is definately not the cause of the biggest spleen he has seen . Ultrasounds show an engorged spleen with no fibroid tissue and no portal flow froblems. She has always had pancytopenia, but lately her white cells have been much lower than usual. She has no autoimmune disorders, thalassemia, TB, Kala azar, or any of the thousand things tested for. She needs help. Thankyou for your time

doctor1 MD

Hello, I have had unusually heavy flooding during my period, and now I have cramping two days after. I had an endometrial biopsy and a transvaginal ultrasound about a year ago, to reveal a uterine fibroid that was fairly small. What could cause...

doctor1 MD

I have been bleeding constantly since my September period with clotting and severe pressure in my lower abdomen area, I am experiencing roughly 5 headaches in a 7 day period. Within the last month I am going through 2 pads in an hour, I have been...