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Ultrasound finding/report ... complex hypoechoic lesion on left ovary

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Old 01-22-2018, 04:36 PM   #1
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Ultrasound finding/report ... complex hypoechoic lesion on left ovary

31 year old mother of 4 boys. I have been dealing irritable bowels, bladder issues, and severe cramping that comes and goes along with pretty bad lower back pain. I went into my primary doctors office two weeks ago. Urine test came back normal. Blood test look normal as well. Ultrasound was a different story. Please help me understand this report pretty please. I go in on Wednesday to talk about the report with my physician. Thanks in advance.


CLINICAL DATA: Female, 31 years old, with pelvic pain.


PROCEDURAL TECHNIQUE: Real-time pelvic ultrasound evaluation including
transvaginal imaging is performed.

FINDINGS: The uterus measures 9.5 x 4.9 x 5.9 cm. The endometrial stripe
measures 7 mm with echogenic foci noted along the endometrial border.

The right ovary measures 3.8 x 2.1 x 2.3 cm. The left ovary measures 4.3 x 4.0
x 2.3 cm. Within the left ovary there is a hypoechoic, heterogeneous, 2.5 x 2.4
x 2.3 cm lesion with peripheral flow. Flow is demonstrated in both ovaries.

Small volume of fluid is noted in the cul-de-sac.


A complex hypoechoic lesion within the left ovary measures 2.5 x 2.3 x 2.4 cm
with peripheral flow. Repeat pelvic ultrasound imaging in 6 weeks is suggested.
There is a small volume of free fluid in the cul-de-sac.

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Old 01-25-2018, 07:26 AM   #2
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Re: Ultrasound finding/report ... complex hypoechoic lesion on left ovary

It sounds like this is an ovarian cyst that they just want to monitor via another u/s in 6 weeks. Cysts are very common and most do go away on their own within 2 to 3 cycles / months. Hopefully, that will be the case for yours.

Endometrial stripe typically gets up to 16mm every cycle so yours is within normal range.

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