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
. Short-term follow-up evaluation to exclude neoplasm radiology is recommended. The 2008 exam did show a dominant cyst of the left ovary.