Lower Abdomen or Pelvis Sonography (Female)
Technique:
Examination performed using a convex 3.5–5 MHz transducer.
Transabdominal pelvic scan performed with adequately filled urinary bladder.
Longitudinal and transverse sections obtained.
Color Doppler used where required.
Prior studies: No prior imaging available.
Clinical history: 37y old patient present with pelvic pain and infertility
Urinary Bladder:
Urinary bladder is adequately distended.
Wall thickness appears normal.
No intraluminal mass or debris is seen.
No post-void residual urine.
Uterus:
Uterus is bulky in size, shape, and position.
Myometrium appears homogeneous.
Endometrium:
Endometrial echo complex appears normal for age and menstrual phase. Endometrial thickness is within normal limits.
The cervix shows a well-defined hypoechoic mass lesion arising from the anterior cervical wall, measuring 45.5 × 47.7 mm.
The lesion appears solid with smooth margins. No obvious cystic degeneration or calcification is noted.
Right Ovary:
Right ovary is normal in size and echotexture.
Follicles are seen.
No cyst or solid lesion noted.
Left Ovary:
Left ovary is normal in size and echotexture.
Follicles are seen.
No cyst or solid lesion noted.
Adnexa:
No adnexal mass or lesion is seen bilaterally.
Pouch of Douglas (POD):
No free fluid is seen.
Measurement Summary:
| Uterus : | 110 × 47 × 55 mm |
| Cevical fibroid : | 47.7 × 45.5 mm |
Impression: Bulky uterus noted. A well-defined mass is seen arising from the anterior cervical wall,considered to cervical fibroid.
Recommendation: Gynecological consultation and clinical correlation advised.
Kindly Note:
• Kindly intimate us regarding any typographical errors within 7 days.
• Ultrasound has limitations in detecting small pelvic lesions.
• Transvaginal scan may provide better evaluation if clinically indicated.
• This report is not valid for medico-legal purposes.
End of Case Study
You have reached the end of this Bulky Uterus with Cervical Fibroid – Ultrasound Case Study.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Bulky Uterus with Anterior Cervical Fibroid on Ultrasound” has been prepared solely
for educational and academic purposes.
The sonographic findings demonstrate a bulky uterus with a well-defined fibroid
arising from the anterior cervical wall measuring approximately 45.5 × 47.7 mm.
These findings are intended for learning and demonstration purposes only.
Definitive diagnosis and management require clinical correlation and
gynecological consultation.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Gynecological Imaging
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology


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