Cervical fibroid TVS

Bulky uterus and Cervical fibroid

TVS Case Study No: R-3

Transvaginal Sonography (TVS) – Pelvis (Female)

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Technique: Transvaginal ultrasound examination performed using a high-frequency endovaginal probe (5–9 MHz). Images obtained in sagittal and transverse planes. Color Doppler applied where indicated.
Prior studies: No prior imaging available.
Clinical history: 37-year-old female presenting with pelvic pain and infertility.

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Uterus: Uterus appears bulky in size and normal in position. Myometrium appears homogeneous.

A well-defined hypoechoic mass lesion is seen arising from the anterior cervical wall, measuring 39.5 × 47.7 mm, suggestive of a cervical fibroid. The lesion shows smooth margins with no obvious cystic degeneration or calcification.

Endometrium: Endometrial echo complex appears within normal limits for age and menstrual phase.

Right Ovary: Right ovary is normal in size and echotexture. Follicles are seen. No adnexal mass lesion noted. Left Ovary: Left ovary is normal in size and echotexture. Follicles are seen. No cyst or solid lesion noted. Pouch of Douglas (POD): No free fluid is seen.

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Measurement Summary:

Uterus :	99 × 47 × 45 mm
Cervical Fibroid :	39.5 × 47.7 mm

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Impression: Bulky uterus with a well-defined hypoechoic lesion arising from the anterior cervical wall, consistent with a cervical fibroid.

Recommendation: Gynecological consultation and clinical correlation advised.

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Kindly Note:

• Kindly intimate us regarding any typographical errors within 7 days.
• Ultrasound has limitations in detecting small pelvic lesions.
• TVS provides better resolution for pelvic structures.
• This report is not valid for medico-legal purposes.

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End of Case Study

You have reached the end of this Bulky Uterus with Cervical Fibroid – TVS Case Study.

This evaluation was performed using Transvaginal Sonography (TVS), providing high-resolution assessment of pelvic structures.

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 Transvaginal Sonography (TVS)” has been prepared solely for educational and academic purposes. The findings demonstrate a bulky uterus with a well-defined fibroid arising from the anterior cervical wall, measuring approximately 45.5 × 47.7 mm. TVS provides superior resolution for evaluation of uterine and cervical pathology. These findings are intended for learning and demonstration only. Definitive diagnosis and management require clinical correlation and gynecological consultation.

Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Gynecological Imaging
Modality: Transvaginal Sonography (TVS)
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology

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© SCRS – Sonographic Classified Reporting System

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