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What Does My Ultrasound Report Indicate?
Question: 34 year old. Went to GYN for vaginal bloody discharge. Ultrasound of pelvic shows uterus retroverted and measures 8.6x7.1x5.5, small calcification in the fundus, endometrium is 1.2 cm thick, right ovary 4x2.3x2.0 and left ovary 2.7x1.9x2.0, no adnexal mass, small amount free fluid in the right adnexa.
Pap showed low grade squamous intraepithelial lesion, mild dysplasia.
Please explain these results and what it could possibly mean. Colposcopy scheduled. Thanks
Pap showed low grade squamous intraepithelial lesion, mild dysplasia.
Please explain these results and what it could possibly mean. Colposcopy scheduled. Thanks
Brief Answer:
Normal ultrasound, positive screen for pre-cancerous cells of cervix
Detailed Answer:
Thank you for the question. So you originally went in for evaluation of a blood-tinged discharge and in the course of the workup, you had a pap smear and ultrasound. Let us take these one at a time:
1. First of all, the ultrasound is basically normal. The uterus is of normal size, it is normal for it to be tilted back, the lining thickness is normal, and the comments about the ovaries are normal
2. The pap smear is a screen for pre-cancerous cells of the cervix. These changes are related to exposure to HPV virus (we are all basically exposed if we have ever been sexually active with at least one partner). These changes are COMMON and usually prompt evaluation with colposcopy which is a microscope with a light. It is a simple exam. With this microscope you can try to see the very small changes that HPV causes and evaluate whether there is a problem worth treating or not. So you are getting appropriate treatment, in other words.
But none of this likely explains the original problem of a blood discharge. You had a prior fibroid identified, and sometimes anatomic changes of the uterus can cause irregular bleeding. After you get the colposcopy completed, you need to re-address the original complaint if it is still present or recurs in the future.
Let me know if this helps.
Dr. Raichle
Normal ultrasound, positive screen for pre-cancerous cells of cervix
Detailed Answer:
Thank you for the question. So you originally went in for evaluation of a blood-tinged discharge and in the course of the workup, you had a pap smear and ultrasound. Let us take these one at a time:
1. First of all, the ultrasound is basically normal. The uterus is of normal size, it is normal for it to be tilted back, the lining thickness is normal, and the comments about the ovaries are normal
2. The pap smear is a screen for pre-cancerous cells of the cervix. These changes are related to exposure to HPV virus (we are all basically exposed if we have ever been sexually active with at least one partner). These changes are COMMON and usually prompt evaluation with colposcopy which is a microscope with a light. It is a simple exam. With this microscope you can try to see the very small changes that HPV causes and evaluate whether there is a problem worth treating or not. So you are getting appropriate treatment, in other words.
But none of this likely explains the original problem of a blood discharge. You had a prior fibroid identified, and sometimes anatomic changes of the uterus can cause irregular bleeding. After you get the colposcopy completed, you need to re-address the original complaint if it is still present or recurs in the future.
Let me know if this helps.
Dr. Raichle
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Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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