TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

INDICATION FOR STUDY:         Postmenopausal bleeding.

FINDINGS:               A transabdominal and transvaginal pelvic ultrasound shows the uterus to measure 12.1 x 4.5 x 6.3 cm.  Three solid lesions can be seen within the myometrium measuring 1.9 x 1.4 x 1.5 cm, 1.7 x 1.8 x 1.7 cm, and 2.8 x 1.7 x 2.1 cm.

These would appear to represent uterine fibroids.  The endometrial echo stripe measures
1.0 cm.  The right ovary and left ovary are not identified.

IMPRESSION:        Probable multiple fibroids, the largest measuring 2.8 cm in its greatest diameter.

Thank you for the referral.

XXXXXXX, M.D.

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

INDICATION FOR STUDY:         Fibroids.  Prior pelvic ultrasound from July 08, 2011 and patient has CT evaluation done on 10/14/2011.

FINDINGS:             The uterus measures 8.6 x 4.5 x 5.7 cm.  There is an echogenic mass within the uterus measuring up to 5.2 cm consistent with fibroid, which is similar to what was seen previously.  The endometrial stripe measures approximately 3 mm.  There is no significant free fluid in the cul-de-sac and the left ovary is not visualized.  The right ovary measures 2 cm.  Overall, this appears similar to what was seen previously.

IMPRESSION:        Continued evidence of fibroid changes in the uterus measuring up to
5.2 cm.  Please see comments above.

Thank you for the referral.

XXXXXXX, M.D.

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

INDICATION FOR STUDY:         Severe tenderness, large uterus.

FINDINGS:             The uterus measures 9.6 x 5 x 6.7 cm.  The endometrial stripe appears somewhat thickened measuring 1.3 cm.  The right ovary measures up to 3.5 cm and the left up to 3.7 cm.  There are multiple small follicular cysts in the ovaries, some of which appear just within the periphery.  The possibility of polycystic ovarian syndrome cannot completely be excluded and would recommend clinical correlation or further evaluation as needed.  There is a small amount of free fluid in the cul-de-sac of uncertain significance.  There is no other significant abnormality.

IMPRESSION:        Slightly thickened endometrial stripe of uncertain significance.  There are multiple small follicular cysts in the ovaries as discussed above.  There is small amount of free fluid in the cul-de-sac of uncertain significance.  If there is any further concern, would recommend clinical correlation or further evaluation as needed or further evaluation with MRI examination of the pelvis may be considered if clinically indicated and no contraindications.

Thank you for the referral.

XXXXXXXX, M.D.

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

INDICATION FOR STUDY:         Menorrhagia.

FINDINGS:             The uterus measures 8 x 4.7 x 5 cm.  There is an echogenic structure within the uterus measuring up to 2 cm consistent with a fibroid.  Other etiologies cannot be excluded.  The endometrial stripe measures 9 mm.  The right ovary measures 2.9 cm and the left 3 cm in length.  There are simple cysts in the ovaries, on the right measuring up to 1.5 cm and on the left up to 1.2 cm.  There is no evidence of free fluid in the cul-de-sac or other gross abnormality.  If there is any further concern, would recommend clinical correlation or further evaluation as needed.

Thank you for the referral.

XXXXXXXXXX, M.D.