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Old 06-26-2008, 02:40 PM   #1
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Can anyone interpret this for me?

MRI of the pelvis without gadolinium.

Technique:
1. Axial T1 SE.
2. Axial T2 SSFSE with fat-sat.
3. Coronal T2 SSFSE with fat-sat.
4. Sagittal T2 SSFSE with fat-sat.
5. Axial proton density with fat saturation.
6. Coronal 3 mm T2-weighted images with fat-sat.

Findings: The uterus is enlarged measuring approximately 9.6 x
6.5 x 5.0 cm. The uterus demonstrates myometrial heterogeneity
with what appears to be linear focal areas of alternating
decreased and increased signal. The junctional zone is distinct
and normal in appearance measuring approximately 5 mm in
thickness. There is a focal cystic structure in the right mid to
lower segment junctional zone which measures approximately 7 x 3
mm. This is consistent with focal adenomyosis. Diffuse signal
abnormality in the uterus does not appear to represent
adenomyosis. This may represent venous engorgement, possibly from
pelvic congestion syndrome. There appear to be prominent adnexal
varices which are not well evaluated without contrast. This could
be better assessed with endovaginal ultrasound using Doppler
interrogation with Valsalva maneuver. Doppler evaluation of the
uterus might also be helpful at the same time.

There is a tiny 3 to 4 mm hypointense lesion in the right aspect
of the uterus adjacent to the junctional zone which may represent
a very small submucosal fibroid.

The cervix is within normal limits. The vagina is normal.

The right ovary is within normal limits measuring approximately
2.5 x 1.7 x 1.3 cm. The left ovary measures approximately 3.7 x
2.3 x 2.8 cm and contains a dominant simple-appearing 1.9 cm
cyst.

A small to moderate amount of free fluid is also noted in the
posterior cul-de-sac.

There is no evidence for pelvic adenopathy. The bladder is within
normal limits. The visualized bowel and rectum appear to be
within normal limits. The bones of the pelvis appear normal.

Impression:
1. Enlarged uterus with slightly heterogeneous linear myometrial
parenchymal structures which suggests vascular engorgement,
possibly related to pelvic congestion syndrome. The findings of
diffuse heterogeneity are not consistent with diffuse adenomyosis
as the junctional zone is normal. This could be better evaluated
with endovaginal ultrasound with Doppler with and without
Valsalva maneuver.
2. There is a small focus of adenomyosis in the junctional zone
measuring approximately 7 x 3 mm. This is of uncertain clinical
significance.
3. Prominent adnexal varices are suggested. This again would be
best evaluated with endovaginal ultrasound and Doppler with and
without Valsalva.
4. 1.9 cm simple-appearing left ovarian cyst.
5. Normal right ovary.

 
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Old 06-27-2008, 06:33 AM   #2
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MSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB User
Re: Can anyone interpret this for me?

atually its quite good. Nothing abnormal about it, however they are suggesting you have a vaginal ultrasound, which is a quick painless outpatient test..go have it done!
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Last edited by MSNik; 06-27-2008 at 06:33 AM.

 
Old 06-27-2008, 06:58 AM   #3
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Re: Can anyone interpret this for me?

MSNik

Thanks for your reply. Although this is not normal. My dr already called and said it shows mild adenomyosis. But I see some other things listed, although everything showing looks really small.

But if you compare this to another MRI I had a few years ago, now that one was completely normal with nothing showing on it but some fluid.

I guess I will find out more tuesday when I meet with my dr. I am already having a hyst anyways, but just curious what all this stuff showing up was. I guess I should not worry about it since it will all be removed soon.

 
Old 06-27-2008, 10:20 AM   #4
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Re: Can anyone interpret this for me?

Hi,

I too think that it is not something to be overly concerned about and yes they do suggest you get an ultrasound so I would go and have it done since this is a very simple procedure which will give you more precise information. I do not think that adenomyosis is a huge deal. We women get fibroids that are both in the outer and inner wall of the uterus. A heterogeneous uterine wall means that you have a lot of inner fibroids and what looks to be a cystic structure. An ultrasound will give much better information as they can actually "see through" the structures to see if they are solid or liquid. The simple ovarian cyst is completely normal for a premenopausal woman and nothing to be concerned about. Your uterus is quite enlarged, probably due to the fibroids, cyst etc..

You will definitely have to speak to your doctor about all of this and have the ultrasound, just to be on the safe side.

All the best.

 
Old 06-27-2008, 07:20 PM   #5
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momto3boys1girl HB User
Re: Can anyone interpret this for me?

Thank you for the extra insight. I don't know if my dr will have me do the u/s or not. I see her on tuesday for my preop to my hysterectomy. I don't know if there really is a need for the u/s since everything will be seen once it is removed. But I will see what she has to say, if she wants it done I will do it.

Oh and I am really not concerned or worried about all this stuff it was more out of curiousity and my inpatientness. And I guess since my other MRI showed nothing that means there has been a change in there and I can only imagine it getting worse not better, but that will be resolved with the hyst.

Does anyone know the normal size of a uterus?

 
Old 06-28-2008, 03:24 PM   #6
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estria HB Userestria HB Userestria HB Userestria HB User
Re: Can anyone interpret this for me?

Hello again,

I believe that a normal uterus is about the size of a small fist. Not very big really (unless it contains something like fibroids or a baby .. ).

Of course you are right that if they are doing a hysterectomy anyway, they will be able to tell you after it comes back from pathology, what was going on. The only reason you would have an ultrasound is to make sure that everything around the uterus is normal and that they don't have to look or do anything elsewhere in your pelvic cavity (while they are there it is better to kill two birds with one stone). Sounds like your ovarian cyst, is that of a completely normal woman though so I doubt they would do an ultrasound just for this.

All the best .. and for whatever it is worth, I think that your being curious is a very healthy sign .. keep it up no matter what anyone says (ie. your doctors .. mine says I read too much !).

 
Old 06-28-2008, 07:11 PM   #7
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Re: Can anyone interpret this for me?

Thanks again. I always read too much, lol. But I think it is funny when you visit with the dr and you use some of there terminology or ask questions that someone who did not do research would not of asked.

I guess I only have a few more days to wait until I meet with my dr. I wonder if she will have me do the u/s or not or maybe she will just take the MRI information. She will be doing my hyst laproscopically (sp?) so she will be able to see pretty good in there.

 
Old 11-12-2008, 07:21 AM   #8
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scared605 HB User
Re: Can anyone interpret this for me?

Hello MOM-

Did you have you hysterectomy and how did it go? They recently saw that I have fluid in my pelvis and cyst and I was wondering if everything ended up OK?

Thanks Kym

 
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