What is the treatment procedure for lesion or gaath in uterus - #11165
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.
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Doctors’ responses
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
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
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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