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Pediatric Endocrinology (Expert Forum)
Third ultrasound abnormalities
Answered by
Deanna L Aftab Guy, MD - Short Stature, thyroid, Pituitary abnormalit, Puberty concerns, Rapid Growth, Adrenal problems, Parathyroid abnormal, Rickets and bone dis
Vanderbilt Children’s Hospital
Nashville - TN
Questions in the Pediatric Endocrinology forum are answered by Dr. Deanna L Aftab Guy, affiliated with Vanderbilt Children's Hospital. Topics covered include adrenal problems, diabetes insipidus, menstrual irregularities, obesity, parathyroid abnormalities, pituitary abnormalities, puberty concerns, rapid growth, rickets and bone disease, short stature, and thyroid.
Third ultrasound abnormalities
by Momma111, May 06, 2008 08:54AM
Dr. Aftab-Guy,
I posted to you regarding our eight year-old daughter on January 17, the post being "Vaginal Bleeding/Enlarged Ovaries by Momma111." I took your suggestions to my daughter's endocinologist, who was unresponsive. He ordered more ultrasounds and the same bloodwork.
Our daughter has had three pelvic ultrasounds since October 2007. The first ultrasound showed ovarian volumes of 2.8cc and 2.9cc, with no free fluid. 2mm endometrial stripe. Everything else was normal. The second one, in November 2007, showed ovarian volumes of 0.4cc and 0.5cc, with no free fluid. Endometrial stripe 2mm. Everything else normal. The third ultrasound, done last week (May 1, 2008), showed ovarian volumes of 1.7cc and 3.2cc, with a small amount of free fluid in the cul-de-sac. Her past blood work has always been normal for her age and Tanner Stage 1. (We will get the same basic bloodwork done again this week.) Bone-age xray was normal, actually coming back three months younger than chronological age. She had a one day event, in August 2007, of vaginal spotting that started all testing.
The first ultrasound with enlarged ovaries was worrisome, but we held fast to the fact that the enlargement was bilateral. However, the third ultrasound now shows two very different size ovaries, and the appearance of free fluid. We plan to switch to another Medical Group (UC DAVIS), as the pediatric endocrinologist we have been seeing is in the only pediatric endocrinology office in our current medical group, but will not be able to make change effective until June. In the meantime, we are hoping you can give us your interpretation of the results and suggestions for further testing. We will try bringing the information to our daughter's primary care physician for follow up until we make the change in June.
Thank you.
I posted to you regarding our eight year-old daughter on January 17, the post being "Vaginal Bleeding/Enlarged Ovaries by Momma111." I took your suggestions to my daughter's endocinologist, who was unresponsive. He ordered more ultrasounds and the same bloodwork.
Our daughter has had three pelvic ultrasounds since October 2007. The first ultrasound showed ovarian volumes of 2.8cc and 2.9cc, with no free fluid. 2mm endometrial stripe. Everything else was normal. The second one, in November 2007, showed ovarian volumes of 0.4cc and 0.5cc, with no free fluid. Endometrial stripe 2mm. Everything else normal. The third ultrasound, done last week (May 1, 2008), showed ovarian volumes of 1.7cc and 3.2cc, with a small amount of free fluid in the cul-de-sac. Her past blood work has always been normal for her age and Tanner Stage 1. (We will get the same basic bloodwork done again this week.) Bone-age xray was normal, actually coming back three months younger than chronological age. She had a one day event, in August 2007, of vaginal spotting that started all testing.
The first ultrasound with enlarged ovaries was worrisome, but we held fast to the fact that the enlargement was bilateral. However, the third ultrasound now shows two very different size ovaries, and the appearance of free fluid. We plan to switch to another Medical Group (UC DAVIS), as the pediatric endocrinologist we have been seeing is in the only pediatric endocrinology office in our current medical group, but will not be able to make change effective until June. In the meantime, we are hoping you can give us your interpretation of the results and suggestions for further testing. We will try bringing the information to our daughter's primary care physician for follow up until we make the change in June.
Thank you.
Doctor's Answer
by Deanna L Aftab Guy, MD, May 15, 2008 03:20PM
, May 15, 2008 03:20PM
To: Momma111
ok, with the bone age being not advanced this is reassuring to me that we have an early process if at all, I am suspicious of the ultrasound interpretation, was it all done by a ped radiologist and if so it is possible that the isolated bleeding was a cyst that resolved, I am happy with the second reading, the endometrial stripe is bothersome.
You are just fine waiting till June and having the new endo see you and decide.
You are just fine waiting till June and having the new endo see you and decide.
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