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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Follicular Cyst In The Following Test Report Suggest?

Transabdominally:bladder not well-distended and bladder outline was unremarkable. Uterus is anteverted. Ovaries were morphologically normal. Endometrial stripe could not be measured. No free fluid was seen in the pelvis.Transvaginal:uterine echotexture to be heterogenous. Bilaminar endometrial thickness is 1.5 cm. Endometrium was heterogenous. No uterine masses or intrauterine pregnancy. A dominant follicular cyst seen in the right ovary measuring 2.3x1.9x2.3cm. Flow was seen in the ovaries. No free fluid was seen in pelvis.If you have any idea what the different highlighted things mean. Please comment.
Wed, 24 Jun 2015
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Radiologist,  's  Response
Hello, thanks for writing to HCM.
Your report states-
- endometrial thickness (uterine cavity lining) of 15mm with heterogenous echotexture.
The endometrial thickness varies with the menstrual phases, but this is mildly thickened. I would correlate this to your age and if you have any symptoms such as abnormal bleeding.

- Right ovary follicular cyst- a follicle grows in either ovary in every cycle, and ruptures during ovulation. If it does not rupture it will go on to form a follicular cyst. It is nothing to worry about.
A followup scan in the next menstrual cycle (or in 6-8 weeks) is usually done, by when most follicular cysts have spontaneously ruptured.

I am unaware of the indication/your age, for this scan, but I would like to followup on the endometrial thickness. An endometrial biopsy is usually the definitive test when in doubt.
Hope I have helped you understand your problem.
Write in if you have any doubts.
Take care.
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Radiologist,  Dr. Indu Kumar's  Response
Hello

Major findings in your report is heterogeneous echotexture of uterus.
Normally uterus should have homogeneous echotexture.
Heterogeneous echotexture may be due to multiple small fibroids,endometriosis etc.This need clinical correlation.

Other findings are normal.There is a 2.3x1.9x2.3cm cyst in right ovary.It is a normal physiological follicular cyst which may take part in ovulation.
Endometrial thickness is also normal.It is important to know your age.In young reproductive females,thickness of endometrium varies with menstrual cycle.
There is no fluid in POD.This is a normal finding.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Could Follicular Cyst In The Following Test Report Suggest?

Hello, thanks for writing to HCM. Your report states- - endometrial thickness (uterine cavity lining) of 15mm with heterogenous echotexture. The endometrial thickness varies with the menstrual phases, but this is mildly thickened. I would correlate this to your age and if you have any symptoms such as abnormal bleeding. - Right ovary follicular cyst- a follicle grows in either ovary in every cycle, and ruptures during ovulation. If it does not rupture it will go on to form a follicular cyst. It is nothing to worry about. A followup scan in the next menstrual cycle (or in 6-8 weeks) is usually done, by when most follicular cysts have spontaneously ruptured. I am unaware of the indication/your age, for this scan, but I would like to followup on the endometrial thickness. An endometrial biopsy is usually the definitive test when in doubt. Hope I have helped you understand your problem. Write in if you have any doubts. Take care.