Talk to Gynecologist on Endometriosis

Please review ultrasound report!


CLINICAL INFO: Known case of endometriosis. On follicular stimulation treatment. Day 19. Complaining of pain hypogastrium, more on left side.



UTERUS:

· It is anteverted and measures 97 x 56 x 39 mm in size.

· Endometrial echoes are normal with endometrial thickness of 5.3 mm.

· No free fluid is noted in endometrial cavity.

· Myometrium is heterogeneous.

RIGHT OVARY:

· It is enlarged with volume of 44.6 ml. Two well-defined irregularly shaped cystic areas with low level echoes are seen measuring 15 x 12 mm and 27 x 27 mm.

LEFT ADNEXA:

· A large well-defined echomixed cystic area is seen (at the site of maximum tenderness) approximately measuring 49 x 46 x 42 mm with volume of 52 ml. On color Doppler, no internal vascularity is seen.

· Another well-defined cystic area with internal meshwork and low level echoes is seen measuring 43 x 29 x 33 mm with volume of 22.7 ml.

· Another echomixed cystic area is noted adjacent to uterus measuring 42 x 38 x 25 mm with volume of 21.4 ml.

· Small elongated compressed tissue is seen adjacent to these cystic areas measuring 30 x 13 x 15 mm having average volume of 3.1 ml, likely representing compressed ovarian tissue.

URINARY BLADDER:

· It is distended.

· Wall thickness is normal.

· No stone or mass is seen.



Small amount of free fluid is seen in pelvic cavity bilaterally.



IMPRESSION:



Mild pelvic ascites.

Multiple echomixed/cystic lesions with internal low level echoes/meshwork appearance are seen in right ovary and left adnexa. Differentials include endometriomas/hemorrhagic cysts.

Please see details above.

Please correlate clinically.