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What is the treatment procedure for lesion or gaath in uterus
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Gynecology & Pregnancy Care
Question #11165
47 days ago
117

What is the treatment procedure for lesion or gaath in uterus - #11165

Anita

GALLBLADDER: Partially distended and shows distorted contour with few calculi within its lumen with largest measuring 13 mm in neck region. Echogenic content with minimal posterior acoustic shadow is seen in the gallbladder lumen ? sludge-s suggestive of cholelithiasis. Th fat plane between gallbladder fundus and adjacent hepatic parenchyma appears indistinc at few places. CBD appears prominent, measuring 7.8 mm. A large heteroechoic (predominantly hypoechoic) lesion is seen in segment V/VIII of right lobe of liver measuring - 4.5 x 4.5 cm. No definitive internal vascularity is seen within it.? nature; advice: CT abdomen /MRCP correlation for better evaluation. LIVER: Rest of the hepatic parenchyma (Right lobe measuring 14.8 cm) shows grade I fatty changes. Few central IHBR are seen. Advice LFT correlation. few subcentimeter sized lymph nodes are seen in peripancreatic/periportal region with on of them measuring - 16 x 13 mm. Tell me what is written in this ultrasound report URINARY BLADDER: Is normal distended. No intra luminal echoes are seen. UTERUS: Uterus is normal in size shape and echotexture. ET measures 5 mm A large ill marginated heteroechoic lesion is seen in pelvic cavity in midline extending into right adnexal region measuring 14 x 9 cm. Multiple cystic areas are seen within the lesion with intense internal vascularity. the right ovary is not seen separately from the lesion. Similar lesion is also seen in left adnexal region measuring 6 x 5 cm. Also left ovary is also not distinctly seen. Mild ascites is seen in peritoneal/pelvic cavity Advice: MRI pelvis correlation for better characterization of the lesion and its extent and to rule out possibility of underlying ovarian neoplastic etiology. No significant tbowel dilatation noted. Appendix could not be traced.

Age: 30
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

Hello dear See as per clinical history it definitely seems cholelithiasis with infection and confirmation of mri must to rule outchances of neoplasm or cancer I suggest you to please get below tests done for confirmation MRI Urine analysis Urine ultrasound PCR Biopsy if recommended by urologist or oncologist I suggest you to please share reports with urologist along with nephrologist for better clarification. Kindly don’t take any medications without consulting the concerned doctor Hope you recover soon Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
44 days ago
5

You should better visit a nearest surgeon. This reports looks complicated. Besides gall stones there might be some other problem.

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
44 days ago
5

USG report There are stones (calculi) inside it, the largest being 13 mm at the neck.

There is also sludge (thick bile).

The wall between the gallbladder and liver looks a bit unclear → sometimes seen in inflammation.

The common bile duct (CBD) is enlarged (7.8 mm) → could mean some blockage or pressure from stones.

Mild fatty liver grade 1 + unidentified liver lesion

Groin region has mass at both sides probably from both ovaries

Advise mri abdomen and pelvis advised

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The ultrasound report indicates several findings that need to be addressed. Starting with the gallbladder, it appears partially distended with a distorted contour, containing several stones (cholelithiasis) within its lumen, particularly one measuring 13 mm at the neck. There’s also mention of possible gallbladder sludge. The common bile duct (CBD) seems slightly prominent, measuring 7.8 mm which might suggest some degree of obstruction. Regarding the liver, a concerning large lesion is present in the right lobe, measuring 4.5 x 4.5 cm, with no visible internal blood supply—a CT or MRCP is recommended to better understand its nature. The liver parenchyma displays some mild fatty changes and a few dilated bile ducts. A few enlarged lymph nodes are noted around the pancreatic and portal areas. Now moving to the uterus and pelvic region, the uterus itself appears normal in size and texture with an endometrial thickness of 5 mm. However, in the pelvic cavity, there’s a large complex lesion, measuring 14 x 9 cm, extending into the right adnexal region with significant internal blood flow, and the right ovary isn’t distinctly visible separate from this mass. A similar, but smaller lesion, is present on the left; this one measures 6 x 5 cm and again the left ovary isn’t distinctly visible. Mild ascites, which is fluid in the abdominal cavity, is noted. Due to these complex findings, especially with the suspicion of ovarian neoplasm, an MRI of the pelvis is recommended to gain clearer insight into these lesions and their potential origins. The urinary bladder appears normal without concerning findings. Overall, next steps largely depend on the additional imaging suggested, particularly for the liver and pelvic findings, as they could influence management significantly, especially if there’s a chance of an underlying malignancy or if surgical intervention becomes necessary.

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