A month ago I had a pet scan that showed concers with my lungs and in the pelvic region. We didn't discuss the pelvic concerns much becuase of the concerns with the lungs (had a bioposy- turns out I have a fungal infection). Now I'm feeling concerned and uneducated at what's next.
Results just posted. What will the next steps be? Bioposy of the cysts?
US PELVIC COMPLETE NON OB
INDICATION:
Adnexal mass suspected, initial exam,Other intra-abdominal and pelvic swelling,
mass and lump. Focus of metabolic activity within the right hemipelvis seen on
prior PET-CT in the region of the right ovary.
TECHNIQUE:
Two dimensional trans abdominal and transvaginal ultrasound performed.
COMPARISON:
PET-CT dated 02/19/2019
FINDINGS:
The uterus is retroverted and heterogeneous in echotexture. Multiple
hypoechoic masses are seen within the uterus consistent with fibroids. The
largest is in the left uterine body measuring 3.9 x 3.4 x 3 cm, the largest
involving the right uterine body measures 3.5 x 2.4 x 2.7 cm. An intrauterine
device is seen within the endometrial canal. Endometrial canal thickness is
within normal limits measuring 6-8 mm. The right ovary is normal in appearance
measuring 4.1 x 2.4 x 3.8 cm and contains anechoic cysts measuring 2.5 x 2.4 x
2.2 cm and 1.9 x 1.8 x 1.8 cm. The left ovary measures 2.2 x 1.2 x 1.9 cm.
There is no free fluid within the cul-de-sac. Flow is seen within both ovaries
on color Doppler and spectral waveform analysis.
IMPRESSION:
1. There are multiple right ovarian cysts, the largest measuring 2.5 x 2.4 x
2.2 cm. No solid lesions or right adnexal masses are seen.
2. Leiomyomatous uterus.
3. An intrauterine device is seen within the endometrial canal.
.
