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Results from Ultrasound, can anyone help me to understand it????????
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Results from Ultrasound, can anyone help me to understand it????????

This is most of what the results say:

There is a large complex mass seen posterior to teh uterus measuring 10.2x 4.6x 9.7cm  This includes small cystic areas of low0level internal echoes and increased echogenicity.  No definite doppler flow is seen to suggest a solid component.  A complex cystic lesion is favoured.  The ovaries are not seen with certainty.  There is no free fluid within the pelvis.

Impression:

Complex pelvic mass measuring 10.2cm.  Considerations include a pelvic abscess, endometrioma, or even complex cystic lesions arising from the ovaries.  Clinical correlation is suggested.  If there is any clinical symptomatology to suggest pelvic abscess than more immediate further investigation would likely be beneficial.  This could include a CT scan. Alternativly a followup ultrasound could be performed in a few weeks.


Now I was left hanging here and its been over a month and I am not sure if i should be worrying or if this is normal..

Any suggestions would be greatly appreciated.


PS. I am also 28yrs old mother of a 3yr old.  Vaginal delivery, no complications.  Still feel like I am pregnant. :(
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9 Comments
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Sorry i should have mentioned that i do have an appointment tomorrow with GYN.  See this is the thing.  Last year i was severely nauseated all year. hospitalized for cluster Miagraines.  I quit smoking and decided to do a colon cleanse.  It was so painful i almost died.  I did it for a month through the pain because of what came out and all.  But after i was getting these pains in my stomach like contraction pains.  they would last for 5 hrs straight than subside.  When this would come on I would get really hot than severe pain would come than i would vomit.  It was so intense and dibilitating.  The last time it happened was Jan 11th.  That is  the day I went to my doctor.  It was my reg doctor just a fill in.  So i dont think that they know the severity of this pain.  I am so afraid that it is going to happen again.  So when i went for my physical 3 weeks later she had to call the clinic to get my results because they didnt send them.  and it said all of that.  I said " umm is this bad or something?" and she never really assured me that it was and said that i had to go see a GYN. Now what?  What is going to happen tomorrow.  This suspense is killing me.
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I am so sorry that you are going through this.  Good thing you have your appt.tomorrow.  Make sure to write down all of the questions that you want to ask.  Somehow, we seem to forget once we are in the dr. office!  Let us know what happens.  You are in my prayers.  Godspeed
~Tascha
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Avatar_n_tn
And what is the difference in having a mass behind the uterus, than having one on your ovary?  This may seem dumb, but it doesnt really mention my ovaries except that they are not seen with certainty.  How can you do an ultrasound for this and not see them with certainty?
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Avatar_n_tn
Do I have to have surgery because of the size?
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Avatar_n_tn
Also i read somewhere on here when they say mass  that is bad?? not a good sign? why? what does that mean.
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I should really focus here.  I did have the blood test done but never called me back with any results.  But they never called me for my results with the US either my doctor had to call 3 weeks later to have them fax it over.  I am not sure what happens tomorrow.  I have the appointment with the GYN.  My question is what comes next?  What does the GYN do at this appointment?  Do they do a pelvic exam and go over the results and than send me for another US?  Sorry if i left out some details i am far to confused. :(
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It is criminal for these "professionals" to put us through so much emotional termoil!!! My Gyn is GREAT, but I have delt with some incompatant jerks with MD's over the coarse of the last few years. I agree with all the gals and would add... Let someone, a kind nurse even, if the doc seems to "busy" to deal with you understand FIRMLY that you really need some straight answers and deserve them, especialy after this long. If they are dismissive, DON'T LEAVE! Tell them they have to give you some answers. Both of my ultrasounds were read and info given to me within half an hour of the test!! It is not like it has to go to a lab. Any good GYN can interpret an ultrasound at least in a starting point kind of way. ANd my doc was straight with us.  Raven is right, make a list. It helps to go to some of the reputable medical sites as we get too emotional to make an intelligent list of questions and they often have a "things to ask your dr" list. I have kept in my forethoughts that KNOWLEDGE IS POWER when I go to the docs. They don't always know but even KNOWING that they don't know is better than imagining the worst. Insist that they tell you what they are thinking at this point.

And...I know endemetriosis can go anywhere and block things on ultrasounds...I know someone on here will be able to fill us in.
Good luck today! We'll be waiting for your post!     Cindi
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Avatar_n_tn
From what I have read...Endometriosis produces fibrosis, solid masses, cysts, liquid effusion and inflammatory reaction. It may attach to virtually any structure including uterus, ovaries, bowel, lungs, kidneys, etc. All this distorts the ultrasound image.

That is sometimes why they can't see the ovaries or tubes clearly on an ultrasound. Nasty little buggar snot, butt much stuff as my gr-daughter woudld say!    Cindi
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119341_tn?1232567357
Endometrosis can block the imaging on an ultrasound? I didn't know this.
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