📄 SCRS
Bulky
Uterus
Bulky uterus ultrasound case study
USG
Bulky Uterus — Ultrasound Case Study
Case Study Record
| SN | Case Name | Report Line |
|---|---|---|
| 1 | Bulky Uterus | View Report Line |
CASE–1
Bulky Uterus
Bulky Uterus
Clinical History
A 42-year-old female presented with
lower abdominal heaviness, pelvic discomfort,
and increased menstrual flow
for the past several months.
No history of acute pelvic inflammatory symptoms
was reported.
Ultrasound Findings
The myometrium appears
mildly heterogeneous
without a definite focal myometrial mass
or well-defined fibroid.
The endometrial cavity is centrally positioned
and the endometrial thickness appearing regular.
Both ovaries are visualized separately with preserved
morphology and vascularity.
No definite adnexal mass or significant pelvic free
fluid is identified.
|
| Pelvic ultrasound. Bulky uterus measuring approximately 12.7 × 5.9 × 5.0 cm with an estimated uterine volume of 197 mL . The myometrium appears mildly heterogeneous without a definite focal myometrial lesion. Endometrial thickness measures 9.5 mm . |
Report Line
Bulky uterus measuring approximately
12.7 × 5.9 × 5.0 cm
(estimated uterine volume
197 mL
)
with mildly heterogeneous myometrial echotexture.
Endometrial thickness measures
9.5 mm
.
No definite focal myometrial lesion identified.
Impression
Bulky uterus with mildly heterogeneous
myometrial echotexture.
No definite focal uterine mass identified
on the present ultrasound examination.
Go To Table
Recommendation
Clinical correlation with menstrual history and
pelvic symptoms is recommended.
Gynecological evaluation may be considered if
symptoms persist or progress.
Follow-up ultrasound may be performed according
to clinical indication.
Key Learning Points
- Bulky uterus is a descriptive sonographic finding and should be interpreted together with uterine contour and myometrial appearance.
- Uterine size should preferably be documented using three orthogonal measurements and uterine volume may be calculated.
- Assessment should include the myometrium, endometrium, cervix, and adnexa .
- Diffuse myometrial heterogeneity may be seen in various benign uterine conditions.
- A bulky uterus without a focal mass should not automatically be labeled as fibroid.
- Clinical correlation with menstrual symptoms and pelvic examination is important.
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