Hi, The report does suggest some positive findings. The size of the uterus is enlarged and it contains a non cancerous tumor called fibroid that is causing this enlargement. It appears that you have had the right sided ovary removed for some reason. They were not able to see the left ovary as it happens sometimes either due to the tumor or because of other factors like position of the ultrasound probe, gas etc. The endometrium is the lining of the uterus that is shed during menses. Usually it grows to 9-12 mm. Yours is slightly thicker. All this suggests more action of the estrogen hormone and is not something which is uncommon. The nabothian cysts are caused due to blocking of nabothian glands, usually do not need treatment unless they grow really big. So you have a fibroid in the uterus of about 6x5cm size. Various possible treatment options are myomectomy- that is removal of fibroid, GnRh analogues and embolisation to decrease the fibroid size or hysterectomy. Thus needs to be individualized according to patients age and reproductive history by discussing with your doctor. I can help you further if you provide the complete obstetric history as well as your desire for retaining the uterus and your age. Thanks and dont worry.