Aa
Please explain this report
On my last ultrasound free fluid was found but it really wasn't explained to me what this free fluid was.
I now have the ultrasound report in front of me and has the following statement:
uterus =89x51x62
right ovary =26x15x15mm
left ovary 21x11x10mm
comments: Anteverted uterus appears heterogeneous with evidence of hypoechoic masses, probable fibroids=
1) 19x17x16 posterior, Intramural, ML
2) 27x21x15mm Anterior Subserosal
3) 20x17x19 mm Posterior, Sudal superior Intramural
a cystic structure is visualized with the myometrium, posterior and adjacent to the Endometrium = 10x8x11 mm
ovaries appear normal, no Masses visualized
free fluid in cul-de-sac ~1cm
As far as I can see my uterus is fairly average size and I have fibroids, It is the last bit that has me confused- is the free fluid within the cystic mass or something separate?
My doctor prescribed Provera to try and get rid of the fluid and I have a followup ultrasound next Monday. I need to know exactly what this report is saying so I can ask questions which aren't random To honest ~ 1 cm (which I presumes means less than) doesn't seem much to worry about and I wonder why the treatment at all and letting me worry for 2 months over something that doesn't on the surface seem that worrisome.
I now have the ultrasound report in front of me and has the following statement:
uterus =89x51x62
right ovary =26x15x15mm
left ovary 21x11x10mm
comments: Anteverted uterus appears heterogeneous with evidence of hypoechoic masses, probable fibroids=
1) 19x17x16 posterior, Intramural, ML
2) 27x21x15mm Anterior Subserosal
3) 20x17x19 mm Posterior, Sudal superior Intramural
a cystic structure is visualized with the myometrium, posterior and adjacent to the Endometrium = 10x8x11 mm
ovaries appear normal, no Masses visualized
free fluid in cul-de-sac ~1cm
As far as I can see my uterus is fairly average size and I have fibroids, It is the last bit that has me confused- is the free fluid within the cystic mass or something separate?
My doctor prescribed Provera to try and get rid of the fluid and I have a followup ultrasound next Monday. I need to know exactly what this report is saying so I can ask questions which aren't random To honest ~ 1 cm (which I presumes means less than) doesn't seem much to worry about and I wonder why the treatment at all and letting me worry for 2 months over something that doesn't on the surface seem that worrisome.
MEDICAL PROFESSIONAL
Hi!
As far as my read of your ultrasound--your uterus and ovaries look fairly normal in sharpe and size. It seems you have 3 fibroids (benign growths composed of muscle cells) that are each about the size of a grape. What I can't tell from the report is whether that cystic structure in the myometrium (muscle wall of the uterus) is another fibroid, or is your endometrium (lining of the uterus) itself. If it is your lining and you are postmenopausal, that is a little on the thick side and is probably the reason for Provera.
Provera is a progesterone which is prescribed to cause the lining of the uterus to slough off--rather like a D&C done with medicine instead of surgery.
The follow up ultrasound is probably to check the lining (endometrium).
Free fluid in the cul de sac is usually a NORMAL finding--everybody's innards slosh around in some fluid. Where that might be meaningful would be in the setting of a tubal pregnancy (internal bleeding) or ruptured ovarian cyst (fluid released from the cyst on rupturing) Otherwise it is just normal fluid and sometime there is more, sometimes less.
If you are not having any symtoms, I would wonder why treatment was necessary too, Fibroids are common and just require watching if they are not causing symptoms. I would be certain to ask the rationale--"Why do I need this medicine?" If there is concern about that cystic structure, your doctor may recommend a D&C or office biopsy to scrape it out and send for analysis. It would NOT be wrong to watch this on ultrasound for a month or two or three also instead of surgery.
Good luck!
Hope this is helpful!
Dr B
As far as my read of your ultrasound--your uterus and ovaries look fairly normal in sharpe and size. It seems you have 3 fibroids (benign growths composed of muscle cells) that are each about the size of a grape. What I can't tell from the report is whether that cystic structure in the myometrium (muscle wall of the uterus) is another fibroid, or is your endometrium (lining of the uterus) itself. If it is your lining and you are postmenopausal, that is a little on the thick side and is probably the reason for Provera.
Provera is a progesterone which is prescribed to cause the lining of the uterus to slough off--rather like a D&C done with medicine instead of surgery.
The follow up ultrasound is probably to check the lining (endometrium).
Free fluid in the cul de sac is usually a NORMAL finding--everybody's innards slosh around in some fluid. Where that might be meaningful would be in the setting of a tubal pregnancy (internal bleeding) or ruptured ovarian cyst (fluid released from the cyst on rupturing) Otherwise it is just normal fluid and sometime there is more, sometimes less.
If you are not having any symtoms, I would wonder why treatment was necessary too, Fibroids are common and just require watching if they are not causing symptoms. I would be certain to ask the rationale--"Why do I need this medicine?" If there is concern about that cystic structure, your doctor may recommend a D&C or office biopsy to scrape it out and send for analysis. It would NOT be wrong to watch this on ultrasound for a month or two or three also instead of surgery.
Good luck!
Hope this is helpful!
Dr B
A related discussion, gyneacology was started.
Thank you for the reply and it just confirms what I thought.
Must admit I am a bit peeve at my doctor but she obviously was doing what she thought was best for me.
To be honest, if she had said take provera for 10 days for 2 months without mention of the free fluid (which looked like a fetal sac was her description) I wouldn't have been worried to be honest, as I knew my endometrial lining was on the thick side the last time I had a scan. It was just the description of the free fluid that freaked me out.
Yes, I am perimenopausal, actually thought I had gotten through the menopause as the hot flushes and anxiety had cease in the summer. Turn out that for the first time in years, I actually ovulated and that is probably why my lining was thick in this scan as I was about shed it. (before taking even the provera as it turns out.) Now the hot flushes are back, I am back to normal, lol.
I have had 2 biopsies both of which came back normal although the 2nd had scant material probably due the ablation I had 4 yrs ago.
Thanks for the reply and the reassurance
Must admit I am a bit peeve at my doctor but she obviously was doing what she thought was best for me.
To be honest, if she had said take provera for 10 days for 2 months without mention of the free fluid (which looked like a fetal sac was her description) I wouldn't have been worried to be honest, as I knew my endometrial lining was on the thick side the last time I had a scan. It was just the description of the free fluid that freaked me out.
Yes, I am perimenopausal, actually thought I had gotten through the menopause as the hot flushes and anxiety had cease in the summer. Turn out that for the first time in years, I actually ovulated and that is probably why my lining was thick in this scan as I was about shed it. (before taking even the provera as it turns out.) Now the hot flushes are back, I am back to normal, lol.
I have had 2 biopsies both of which came back normal although the 2nd had scant material probably due the ablation I had 4 yrs ago.
Thanks for the reply and the reassurance
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