TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

CLINICAL DATA:               Pain.

FINDINGS:               Uterus measures 10.2 x 3.9 x 5.5 cm.  There is a small intrauterine
1.8 x 1.3 cm mass.

Endometrial stripe measures 7 mm and this is within normal limits.

Right ovary measures 3.3 x 2.7 x 2.2 cm and left ovary measures 2.3 x 1.7 x 2.2 cm.

There is a small, 1.8 x 1.7 cm complex, mainly cystic right adnexal lesion.

There is no free fluid in the cul-de-sac.

IMPRESSION:

1.                   Small about 1.8 cm intrauterine mass, probably representing a small fibroid.  Other possibilities cannot be completely excluded.

2.                   About 1.8 cm complex, mainly cystic, right adnexal lesion.  It probably represents a complex cyst.  Other possibilities cannot be completely excluded.  Clinical correlation and if indicated, further evaluation is suggested.

Thank you for the referral.

XXXXXXXXXXX, M.D.