IMAGECAST RESULTPELVIC ULTRASOUND WITH DOPPLER 10/1/2012 11:28 AM
HISTORY: Right lower quadrant pelvic pain.
FINDINGS: Transvaginal images were performed to better evaluate the
patient's uterus, ovaries and endometrial stripe.
The uterus is retroflexed but normal in size measuring 7.8 x 3.1 x
4.1 cm. No fibroids are evident. Endometrial stripe measures 4 mm and
is normal for patient's age. Nabothian cyst is noted in the cervix
which is within normal limits. The right ovary measures 6.1 x 4.3 x
5.4 cm and contains a complex appearing cyst with low-level internal
echoes measuring 5.3 x 3.7 x 5.1 cm. No abnormal color Doppler flow
is present within this complex cystic lesion. The left ovary measures
4.0 x 2.3 x 2.2 cm and contains a simple appearing follicle or cyst
measuring 1.3 cm. Color Doppler waveform analysis demonstrates normal
arterial waveforms within each ovary. No adnexal masses are present.
A small amount of free pelvic fluid is present.
1. Large complex appearing right ovarian cystic lesion is present
with a small amount of free pelvic fluid. A large endometrioma or
hemorrhagic cyst are possible. Followup ultrasound in 2 or 3 months
could be performed to assess for interval resolution.
2. Dominant follicle left ovary measures 1.3 cm.
3. Uterus and endometrial stripe appear normal.
Hi, on September 30th I started having severe lower pelvic pain. I went to the ER on October 1st because I couldn't take it anymore and they did a cat scan and pelvic ultrasound, finding an ovarian cyst, complex.
Went to doctor Tuesday and by then, the acute pain was gone, but I still had colicky pain and diarrhea. He said to watch it then another ultrasound in two months. He ran a CA125 which came back elevated at 180. I went back to see him and his partner who both visually looked at my ultrasound and cat scan and both concluded once again it was a benign process, a benign cyst, the elevation of the CA125 was due to the acute process I experienced and they think I either ruptured or partially ruptured it. The recommendation is surgery to remove ovary and cyst.
I still have bloating, some nausea, back pain going on with some slight spotting but that has gotten better. Surgery is still being scheduled.
I am wondering:
1. What you think of the report
2. I have also read that the CA125 can spike due to acute processes and I was CERTAINLY in one when the blood was drawn, I couldn't even sit up or lie down properly for two days.
3. Do you think surgery is necessary?
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