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Ovarian Cysts Community
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ULTRASOUND RESULTS

Can someone please explain to me my results.  I'm having an MRI done in a month and just not sure what to make of these results.  I'm assuming cancer but could it be other things as well?  Here it is:

The myometrium is inhomogeneous.  The uterus measures 10.3 cm in length.  The endometrium is inhomogeneous in appearance.  It measures 0.91 cm in thickness.

There is a solid inhomogeneous area of 1.8 cm in the right ovary.  The left ovary is unremarkable.  There is free fluid in the posterior cul-de-sac.

A bilobed, anechoic area is seen posteriorly within the pelvis.  It shows no flow signal and it measures 3.6 cm.  The possibility of fluid or the presence of a rectosigmoid loop could be considered.
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Avatar universal
COMMUNITY LEADER
I'm curious why you think it's cancer and what type (endometrial, ovarian)? What has your doctor told you?

There are benign causes for inhomogenous (heterogenous) endometrium. And most of them are benign. Uterine fibroids are one example. Polyps are another. Fibroids are extremely common and 99% of them are benign. Depending on the type of fibroids, they can make the lining appear thicker than it is.

In women who are still cycling (pre-menopausal), the lining typically gets as thick as 1.6cm (16mm). After menopause and if not on hormones, they like to see it less than .5cm. But a thickened lining doesn't necessarily mean cancer either. It can take awhile for a thickened lining to cause abnormal cells that have the potential to become cancerous (endometrial hyperplasia). Most cases of hyperplasia are treatable with medication (progestins).

It sounds like you have a small ovarian cyst. Most cysts are benign and resolve on their own within a few cycles / months, no intervention needed. Imaging is not exact (MRI may be more so than u/s) so it can be difficult to tell the type of cyst. Some cysts that resolve on their own can appear solid on imaging such as hemorrhagic. This site may be helpful - http://ovaryresearch.com/ovarian_cysts.htm.

Let us know what more you find out.
5 Comments
I thought solid cysts were not good.  Also I wasn't sure what the part about the rectosigmoid means.

I also have HGSIL.  I just had a colposcopy which results come in next week.  Depending on these results I may need to have a cone done
Thank you for your comment.  Is there any more you can tell me to my follow up answer?
Fluid filled cysts such as follicular and hemorrhagic (both benign types) can appear solid on imaging. Some other benign types may also. Some of the radiology / radiographics websites are helpful at understanding ovarian cysts.

I wouldn't think your HGSIL would be related. When was the HGSIL diagnosed and did you have a procedure to remove the abnormal cells and the upcoming colposcopy is a follow-up?
HGSIL was diagnosed a month ago.  Since then I have had a colposcopy.  Those results come in next week.  Doc said he could see the abnormal cells and thought they could be spread higher up in the uterus.  He said a cone biopsy would be next step.  My MRI for the cyst is also next week.  
Do you know what the ultrasound means when it talks about the rectosigmoid loop?  Is this IBS?
There's a junction / connection between the sigmoid colon and the rectum which is like a u-turn. That may difficult to see properly on imaging or yours may be more pronounced making it appear like a loop but not a cause for concern. IBS is merely a "catch all" term for bowel issues when no cause is found.
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