I need an opinion before my appointment. Please Help.
This is my history and my ultrasound findings.
History: 29 yr old female with right-sided pelvic pain and vaginal bleeding.
Technique: Transabdominal and endovaginal probes were used to obtain images of the patient’s pelvis.
Findings: The uterus is retroflexed. Measuring 6.6 x 4.5 x 3.7cm. A 1.2 x 0.9 x 0.8 cm hypoechoic focus is present in the posterior left myometrium. The endometrial stripe is 8.4 mm. No fluid within the endocervical canal. Nabothian cysts are present. Right ovary measures 4.2 x 3.2 x2.0 cm and has a complex cyst with internal echoes measuring 1.8 x2.5 x1.5cm. The left ovary measures 2.6 x 2.7 x1.7cm, contains follicles and a 1.0 x1.2 x0.8 cm hyperechoic nonshadowing mass. Free fluid is present in the cul-de-sac.
Impression: Retroflexed uterus. A 1.2cm posterior left uterine leiomyoma. Complex hemorrhagic 2.5 cm right ovarian cyst. A 1.2cm echogenic nonshadowing mass left ovary, most likely representing a hemorrhagic cyst or endometrioma.
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