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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.
ovaries are dynaminc and are constantl changing during the reproductive years
so depending on where you are in your menstrual cycle, you willse ovarian cysts at different stages of development and resolution that are related to ovulation.
the important thing is follow up
I agree with the recommendation to repeat the ultrasound afetr a few menstrual cycles\
if these are cysts of ovulation, they will be gone on the next ultrasound
there is also a ovarian cyst med help forum for further discussion of benign ovarian cysts
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