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.

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

FINDINGS:             The uterus measures 10.5 x 4.6 x 6.1 cm.  It has a homogeneous echotexture.  There is no intrauterine mass noted.

Endometrial stripe is thickened measuring 1.6 cm.  This may be related to hyperplasia or a polyp.  Clinical correlation and if indicated, further evaluation is suggested.

Right ovary measures 3 x 3 x 3.7 cm.

There is a very large, about 14 x 9.3 cm complex, mainly cystic left adnexal mass.  It may represent a complicated cyst.  Other possibilities cannot be excluded.  Further evaluation with CAT scan is recommended.

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

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND STUDY OF PELVIS

ULTRASOUND STUDY OF PELVIS

CLINICAL DATA:  Postmenopausal bleeding.

FINDINGS:             The uterus is retroverted.

It measures 6.8 x 5.5 x 5.9 cm.  There are intrauterine masses measuring 3.4 x 3.6 x 3.7 cm and 2.7 x 2.7 x 2.3 cm, probably representing fibroids.  Other possibilities cannot be excluded.

Endometrial stripe measures 8 mm.

Right ovary measures 2.2 x 1.3 x 1.9 cm and left ovary measures 2 x 1.5 x 1.5 cm.  There is no adnexal mass noted.

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

IMPRESSION:        Intrauterine masses measuring 3.4 x 3.6 and 2.7 x 2.7 cm.  They probably represent fibroids.  Other possibilities cannot be completely excluded.

There is no adnexal mass noted.  Endometrial stripe measures 8 mm.

Thank you for the referral.

XXXXXXXX, M.D.