Hypoechoic filling defect seen on US

[kgirl614]

I had an renal ultrasound done and they seen an apparent hypoechoic filling defect in the posterior wall of the bladder. Clinical Correlation with cytoscopy was done. cystopscopy was normal.

Therefore they are doing a pelvic sonogram to see if this might have been behind the bladder or in the uterus.

Is that a possibility that it was not in the bladder.

I am heavy and they stated that it was hard to delineated due to the adipose and subcataneous tissue between the bladder and skin.

Any help would be great.

[kgirl614]

I had my ultrasound of the pelvic this morning.  The radiologist tech, asked me questions before we started to see why I was getting this, I explained to her about the apparent hypoechoic filling defect in the posterior wall of the bladder and that the cystoscope was normal. She started the exam with my bladder full. She measured some stuff and then was telling me that the uterus looked fine and the bladder wall looked fine. She got to my ovaries and measured then did a doppler flow and did the left first then when she got to the right, I hardly heard anything, actully it showed a straight line, I noticed that she seemed to concentrate on that ovary for a bit then finished and wanted me to empty my bladder. When I returned she asked me to get back on the table to see if my bladder emptyed all the way, well it didnt. My bladder measured about 17cm and it was showing over 8cm when I emptyed.  Any suggestions. I am not sure why my physican did the pelvic sono instead of the CT. Maybe do to cost not real sure.

Any suggestions would be greatly appreciated. Still having pain in lower back and pelvic region. worse at nights and causes me to awaken.

thanks kgirl614

[Fernando Roque, MD]

Hi.  Since the cystoscopy was not able to visualize the hypoechoic filling defect.  There is a possibility that the lesion is either located very deep in the bladder wall or is not in the bladder at all.  If this is the case, A pelvic CT scan might be a more appropriate procedure as this would be better at detecting possible lesions outside the bladder.