Translabial Sonography

SUMMARY

A left labial abscess is a localized collection of infected fluid within the labial soft tissues. Translabial ultrasound may help characterize the collection, document its dimensions and extent, and assess surrounding soft-tissue changes. The relationship to the Bartholin gland should be evaluated when the location and visualization permit.

Reference image for left labial abscess case study

CLINICAL PRESENTATION

Clinical indication: left labial swelling and/or pain. Correlate with the patient's symptoms, physical examination, and relevant clinical history.

ULTRASOUND FINDINGS

Left Labial Soft Tissues: A focal collection measuring 32 × 12 mm is identified in the left labial soft tissues, in keeping with the supplied clinical indication of a labial abscess. Internal echoes, margins, and the extent of the collection should be described according to the actual scan.

Ultrasound image of left labial collection

Surrounding Soft Tissues: Assess for surrounding edema, inflammatory change, and any extension into adjacent perineal or vulvovaginal soft tissues.

Right Labial Soft Tissues: Assess the visualized right labial soft tissues for any focal lesion, collection, or inflammatory change.

Vulvovaginal Region and Vaginal Wall: Document the appearance of the visualized vulvar, perivaginal soft tissues, and vaginal wall, including any associated collection or abnormal thickening.

Urethral Region: Assess the periurethral region for any focal cystic lesion or collection, if adequately visualized.

Bartholin Gland Region: Assess the relationship of the left labial collection to the Bartholin gland to determine whether a Bartholin gland origin is present.

Color Doppler: If Doppler assessment is performed, document peripheral and internal vascularity of the collection and adjacent soft tissues.

Pelvic Floor / Perineal Musculature: Assess the visualized pelvic floor and perineal musculature for involvement, focal defect, or associated collection.

Additional Findings: Document any additional abnormality or extension identified in the visualized translabial soft tissues.

ULTRASOUND IMPRESSION

Left labial collection measuring 32 × 12 mm, suggestive of a labial abscess in the appropriate clinical setting. The relationship to the Bartholin gland and the extent of surrounding inflammatory change should be reported only if confirmed on the examination.

DIFFERENTIAL CONSIDERATIONS

Labial soft-tissue abscess.

Bartholin gland abscess, if the collection is centered on the Bartholin gland region.

Other infected or inflamed vulvar/perineal cystic lesions, depending on the precise location and sonographic appearance.

CLINICAL CORRELATION

Correlate with local pain, swelling, erythema, tenderness, fever, and physical examination findings. Gynecological assessment is recommended to guide management. Urgent clinical review is appropriate if there is fever, rapidly progressive swelling, severe pain, or systemic illness.

KEY POINT

Educational note: The provided measurement is 32 × 12 mm. Confirm and document the collection's three-dimensional measurements when obtainable, internal echoes, margins, surrounding edema, Doppler characteristics, and relationship to the Bartholin gland during the actual examination. This is an educational template; edit it to include only findings verified on the scan before clinical use.

Patient Name

Age / Sex

Referring Doctor

Date

BPH Ultrasound — Case Study, Image Study and Reports

Benign Prostatic Hyperplasia (BPH)

Case Study · Image Study · Ultrasound Report

BENIGN PROSTATIC HYPERPLASIA (BPH) — GRADE 1

Case – 01 (Transabdominal Pelvic Scan)

Transabdominal Prostate and Urinary Bladder Sonography

SUMMARY

Benign prostatic hyperplasia (BPH) is a non-malignant enlargement of the prostate, predominantly affecting the transition zone. Transabdominal ultrasonography helps document prostatic size and volume, central-gland prominence, bladder appearance and post-void residual urine. In this educational Grade 1 case, the prostate volume is 30.41 mL with mild enlargement and a small residual urine volume.

CLINICAL PRESENTATION

Clinical indication: A 58-year-old male presented with increased urinary frequency, nocturia, mild difficulty initiating urination and a weak urinary stream for several months. Occasional sensation of incomplete bladder emptying was reported. No history of hematuria or acute urinary retention was supplied.

ULTRASOUND FINDINGS

Prostate Gland: Mild prostatomegaly with maintained overall contour and relatively homogeneous echotexture. The measured prostate volume in the supplied case is 30.41 mL. Record the three orthogonal dimensions on the actual scan to confirm calculated volume.

Transition / Central Gland: Mild prominence of the transition/central gland, in keeping with the supplied appearance of mild benign prostatic enlargement.

Median Lobe / Bladder Base: Assess for median-lobe prominence and intravesical prostatic protrusion. A measured protrusion was not provided in this Grade 1 case; do not report its presence or absence without confirming the scan.

Urinary Bladder: Mild trabecular prominence was described. No definite intraluminal bladder mass or calculus was identified in the supplied case. Record bladder wall thickness and any additional changes if measured.

Pre-Void Bladder Volume: Described as within the expected range in the source case; exact measured volume was not supplied. Enter the actual measured volume when available.

Post-Void Residual Urine: Small post-void residual urine volume was described; exact residual volume was not supplied. Measure and document the volume in mL rather than assuming a numerical value.

Kidneys / Upper Urinary Tracts: Document renal size, parenchymal appearance and any hydronephrosis if included in the examination. Specific renal findings were not supplied for this case.

Additional Findings: No definite focal suspicious prostatic lesion or significant pelvic free fluid was identified on the supplied examination. Transabdominal ultrasound alone cannot exclude prostate malignancy.

ULTRASOUND IMPRESSION

Mild prostatomegaly with mild transition-zone prominence, suggestive of benign prostatic hyperplasia (Grade 1 in this educational classification). Prostate volume: 30.41 mL. Small post-void residual urine (exact volume not provided).

DIFFERENTIAL CONSIDERATIONS

Benign prostatic hyperplasia / transition-zone enlargement.
Other causes of prostatic enlargement or lower urinary tract symptoms, depending on clinical examination and investigations.
Prostatitis or prostatic neoplasia where suggested by clinical findings; ultrasound appearance alone is not diagnostic.

CLINICAL CORRELATION

Correlate with lower urinary tract symptoms, symptom score, physical examination and urinalysis as appropriate. Serum PSA testing and digital rectal examination may be considered according to age, clinical indication and shared decision-making. Urological evaluation is appropriate if symptoms persist, worsen or are associated with urinary retention or other complications.

KEY POINT

Educational note: The supplied prostate volume is 30.41 mL. Confirm prostate dimensions and calculated volume, bladder wall findings, median-lobe appearance and measured post-void residual on the actual scan. Grade 1 is a descriptive teaching label here, not a universally standardized ultrasound severity grade. Prostate size does not reliably predict symptom severity. This case is educational; report only verified findings for clinical use.

Select BPH Report Template

To edit, select “Edit Report”, then click any report text and type.

ULTRASOUND WHOLE ABDOMEN (MALE) — BPH GRADE 1

Patient Name		Age / Sex
Referring Doctor		Date

Clinical Details

Indication: Routine abdominal sonography. Relevant clinical history and laboratory findings: Not supplied.

Technique: Real-time grayscale ultrasonography of the abdomen and pelvis performed using a curvilinear transducer. Targeted color Doppler assessment performed where clinically indicated. Examination performed with appropriate bladder filling, as feasible.

Detailed Ultrasound Findings

Liver: Liver is normal in size, shape and contour, with smooth capsular outline and homogeneous parenchymal echotexture. Hepatic echogenicity is within normal limits. No focal solid or cystic hepatic lesion is identified. No intrahepatic collection is seen. Right lobe span in midclavicular line: 140 mm; left lobe: 75 mm; caudate lobe: 25 mm.

Intrahepatic Biliary Radicles / Hepatic Ducts: Intrahepatic biliary radicles are not dilated. Visualized right and left hepatic ducts show no abnormal dilatation.

Portal Vein: Main portal vein is normal in caliber and course, with patent lumen. Hepatopetal flow is demonstrated on color Doppler when assessed. No visible portal venous thrombus. Portal vein diameter: 11 mm.

Gallbladder: Gallbladder is adequately distended with normal contour. Wall thickness is within normal limits. No echogenic calculus, sludge, intraluminal mass or polyp is seen. No pericholecystic collection is identified. Gallbladder wall thickness: 2 mm. Sonographic Murphy sign: negative (example).

Common Bile Duct (CBD): Visualized CBD is normal in caliber without evident intraluminal calculus or biliary obstruction. CBD diameter: 4 mm.

Pancreas: Visualized head, body and tail of the pancreas are normal in size, outline and echotexture. No definite focal lesion, pancreatic duct dilatation or peripancreatic fluid collection is seen. Main pancreatic duct: 2 mm (illustrative).

Spleen: Spleen is normal in size and shape with homogeneous echotexture and smooth outline. No focal splenic lesion or perisplenic collection is detected. Splenic bipolar length: 105 mm.

Inferior Vena Cava (IVC): Visualized IVC is patent and normal in caliber. No definite intraluminal thrombus is seen. Respiratory caliber variation is present when assessed.

Abdominal Aorta: Visualized abdominal aorta is normal in course and caliber, without aneurysmal dilatation. Maximum visualized aortic diameter: 18 mm.

Right Kidney: Right kidney is normally located and shows normal size, contour and renal parenchymal echogenicity. Cortical thickness and corticomedullary differentiation are maintained. No renal calculus, focal mass, cyst or hydronephrosis is identified. Size: 105 × 48 mm; cortical thickness: 8 mm.

Left Kidney: Left kidney is normally located and shows normal size, contour and renal parenchymal echogenicity. Cortical thickness and corticomedullary differentiation are maintained. No renal calculus, focal mass, cyst or hydronephrosis is identified. Size: 108 × 50 mm; cortical thickness: 8 mm.

Urinary Bladder: Urinary bladder is adequately distended with smooth, regular walls and anechoic contents. No intraluminal calculus, obvious mass, debris or diverticulum is detected. Wall thickness: 2 mm; prevoid volume: 280 mL; postvoid residual: 12 mL (illustrative).

Prostate Gland: Prostate is normal in size and configuration with smooth outline and homogeneous echotexture. No definite focal lesion is identified on transabdominal assessment. Volume: 15.4 mL. Median lobe protrusion: not seen (example).

Seminal Vesicles: Bilateral seminal vesicles are symmetrical and unremarkable in the visualized portions, without obvious cystic dilatation or focal abnormality.

Bowel Loops: Visualized bowel loops are not abnormally dilated. No obvious segmental bowel wall thickening or localized fluid collection is identified on this routine survey. Bowel gas may limit assessment.

Peritoneal Cavity / Pelvis: No free intraperitoneal fluid, ascites or obvious localized collection is seen in the visualized abdomen or pelvis.

Retroperitoneum / Lymph Nodes: No obvious enlarged retroperitoneal lymph nodes or mass is seen in the accessible regions. Evaluation may be limited by bowel gas.

Additional Findings: _____.

Impression

No significant sonographic abnormality detected in the visualized abdominal and pelvic organs, subject to completion and confirmation of all findings above.

Recommendation

Correlate with clinical findings and relevant laboratory investigations. Further targeted imaging or specialist assessment may be considered when clinically indicated.

Limitations / Technical Factors

Ultrasound is operator-dependent. Bowel gas, body habitus, patient preparation and bladder distension may limit evaluation of some structures. The pancreas, retroperitoneum, ureters and bowel may not be completely assessed by routine transabdominal ultrasonography. Measurements and statements should be verified against the actual scan before finalizing the report.

Kindly Note

Kindly report any typographical errors and submit for correction within 7 days. This report and accompanying images are not valid for medico-legal purposes.

Dr. Deena Nath
MBBS MD (Consultant Radiologist)

Educational case study and editable report. Verify all findings before issuing a report.

Labial abscess

Labial Abscess Ultrasound

LEFT LABIAL ABSCESS

Translabial Sonography

SUMMARY

CLINICAL PRESENTATION

ULTRASOUND FINDINGS

ULTRASOUND IMPRESSION

DIFFERENTIAL CONSIDERATIONS

CLINICAL CORRELATION

KEY POINT

Left Labial Abscess — Image Study

Image 01 — Case Reference

Image 02 — Ultrasound Collection

Benign Prostatic Hyperplasia (BPH) Grade-1

Benign Prostatic Hyperplasia (BPH)

BENIGN PROSTATIC HYPERPLASIA (BPH) — GRADE 1

SUMMARY

CLINICAL PRESENTATION

ULTRASOUND FINDINGS

ULTRASOUND IMPRESSION

DIFFERENTIAL CONSIDERATIONS

CLINICAL CORRELATION

KEY POINT

BPH — Ultrasound Image Study

Ultrasound Image 1

Ultrasound Image 2

Reporting checklist

Labial abscess

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