Right renal cortical cyst, Bulky uterus, RPOC, and Left ovarian follicular cyst.

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Right renal cortical cyst, Bulky uterus, RPOC, and Left ovarian follicular cyst
W/A Female ultrasound Case Study No: R-1

Whole Abdomen & Pelvis Sonography


Technique: Examination performed using a convex 3.5–5 MHz transducer. Longitudinal and transverse planes of the abdomen were evaluated. Color Doppler assessment of hepatic and portal vessels was performed. Pelvic and post-void images were obtained. Patient was fasting for 6–8 hours.
Prior studies: No prior imaging available.
Clinical history: 32y old Patient presents with abdominal pain; evaluation for right renal cortical cyst


Liver: Liver is normal in size, shape, and echotexture. Intrahepatic biliary radicles are not dilated. No focal lesion such as mass, cyst, or abscess is seen. PV: Portal vein is normal in caliber with normal hepatopetal flow.

Gall Bladder: Gallbladder is not visualized, consistent with post-cholecystectomy status. Gallbladder fossa appears clear with no evidence of fluid collection, mass, or residual tissue. Common Bile Duct (CBD): CBD is normal in course and caliber throughout its visualized length. Pancreas: Pancreas is normal in size, shape, and echotexture. Main pancreatic duct is not dilated. No focal mass or calcification is seen.
Spleen: Spleen is normal in size, shape, and echotexture. Splenic vein appears normal. No focal lesion or calcification is seen.
Right Kidney: Right kidney is normal in size, shape, and echotexture. Corticomedullary differentiation is preserved. A well-defined anechoic cortical cyst measuring 15.0 × 15.6 mm is noted in the lower cortex. No internal septation or solid component is seen. No calculus, hydronephrosis, or mass lesion is noted.
Left Kidney: Left kidney is normal in size, shape, and echotexture. Corticomedullary differentiation is preserved. Pelvicalyceal system is not dilated. No calculus, hydronephrosis, or mass lesion is seen.

Rt. Ureter: No evidence of dilatation. Lt. Ureter: No evidence of dilatation.
Urinary Bladder: Urinary bladder is adequately distended. Wall thickness appears normal. No intraluminal mass or debris is seen. Post-void residual urine is insignificant. Uterus: Uterus is anteverted and appears bulky in size with normal myometrial echotexture.
Endometrial cavity shows heterogeneous echogenic contents suggestive of retained products of conception (RPOC). Endometrial thickness is increased.
No focal myometrial lesion is seen. Overall echotexture appears mildly heterogeneous.
Rt. Ovary: Normal in size and priserved echotexture. No cyst or mass lesion. Lt. Ovary: Left ovary is normal in size with preserved echotexture. A well-defined thin-walled anechoic cyst (follicular cyst) measuring 21 × 19 mm is seen. No internal septation or solid component is noted. No adnexal mass lesion is seen.
Free Fluid: No free fluid is seen in the abdomen or pelvis.

Other Observations: High-frequency linear (7.5–10 MHz) probe evaluation was performed in longitudinal and transverse planes.
Lymph node: No evidence of abdominal lymphadenopathy is seen. Aorta: Abdominal aorta appears normal in course and caliber. No aneurysmal dilatation noted. Bowel: Bowel loops are unremarkable. No bowel wall thickening, dilatation, or abnormal peristalsis observed. Abdominal wall: Appears intact with no evidence of hernia or focal defect. Appendix: Not visualized. Inguinal region: Bilateral inguinal regions appear normal. No evidence of inguinal hernia or lymphadenopathy.

Measurement Summary:

Liver : 129.6 mm (Midclavicular length)
Spleen : 95.6 mm (Bipolar length)
Right Kidney : 98.2 mm (Length)
Left Kidney : 102.3 mm (Length)
Uterus Volume : 98.2 mL


Impression: Status post cholecystectomy with no obvious complication.
Right renal cortical cyst noted.
Bulky uterus with retained products of conception (RPOC).
Left ovarian simple follicular cyst.


Recommendation: Clinical correlation advised. Gynecological consultation is recommended for further evaluation and management of RPOC. Follow-up ultrasound may be considered if clinically indicated.


Kindly Note:

• Kindly intimate us regarding any typographical errors and submit the report for correction within 7 days.

Limitations / Technical Factors:
Ultrasound is not the modality of choice to rule out subtle bowel lesions.
Examination of the pancreas was partially limited due to overlying bowel gas.
Evaluation of uterus and adnexa may be limited in cases of inadequate bladder filling, bowel gas, or obesity; transvaginal ultrasound provides better resolution when clinically indicated.

• This report and accompanying images are not valid for medico-legal purposes.


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Ultrasound Case Summary

You have reached the end of this Ultrasound Abdomen & Pelvis Report.

Impression:
Status post cholecystectomy with no obvious complication.
Right renal cortical cyst noted.
Bulky uterus with retained products of conception (RPOC).
Left ovarian simple follicular cyst.

Recommendation:
Clinical correlation advised.
Gynecological consultation recommended for RPOC.
Follow-up ultrasound if clinically indicated.

Author Photo

Declaration:
This report is based on sonographic findings and is intended for clinical reference.
Interpretation should be correlated with clinical findings and laboratory results.
Further evaluation or follow-up imaging may be required where indicated.

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Right renal cortical cyst, Bulky uterus, RPOC, and Left ovarian follicular cyst.

SCRS Topic Header Right renal cortical cyst, Bulky uterus, RPOC, and Left ovarian follicular cyst W/A Female...

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