Understanding pelvic ultrasound reports
Oct 04, · Understanding pelvic ultrasound reports. Fed up with deciphering jargon, Dr Attiya Khan asked consultant gynaecologist Mr Rehan Khan for a plain language guide to understanding pelvic ultrasounds. by Dr Attiya Khan and Mr Rehan Khan. Abnormal endometrial thickness can be caused by polyps (Photograph: SPL) Sign in to continue. How to read and write a complete venous ultrasound report Nicos Labropoulos Professor of Surgery and Radiology Director, Vascular Laboratory Duplex ultrasound report of a patient with bilateral chronic venous disease, who presented with burning sensation, itching and likedatingus.com Size: KB.
Have you ever looked at an ultr asound image and wondered what go you looking at? Ever wonder which end is up? When others are discussing bull or heifer, ovarian diagnosis, or metritis treatment are you still looking to decide what it is?? Well, if you feel left in the dark when it comes to ultrasound images…. Ultrasound is a non-invasive, immediate tool used to image tissue.
It will not penetrate bone like an X-Ray. So the first step to help you read the ultrasound image is to be familiar with the anatomy that you are imaging. Various body tissues conduct sound differently. Some tissues absorb sound waves while others reflect them.
The density of the tissue dictates the speed at which the tto return. The denser the tissue, is the brighter white it will appear in ultrasound the brightest white being bone.
Bovine Ultrasound : Early Pregnancy. B ovine Ultrasound : Heifer Calf. Equine Ultrasound : 13 day Pregnancy. Sheep Ultrasound : 63 day pregnancy. Hopefully this helps you to SEE the ultrasound image. Remember, the more images you see the easier and clearer they will become. Of course, choosing the right ultrasound equipment from a creditable company should also be an important decision. To schedule a free demo, click here Topics: veterinary ultrasound portable ultrasound basic ultrasound how to read an ultrasound image premium veterinary ultrasound reading ultrasound images reading animal ultrasound images.
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Role of thyroid ultrasound –No single imaging characteristic is sufficiently sensitive or specific to guide management decisions –Therefore, numerous guidelines have been developed to look at combinations of imaging characteristics to stratify risk and guide management –In general, guidelines suffer from a very low PPV (?%)File Size: 2MB. Aug 24, · Read on for a quick echocardiogram guide to help you understand echocardiogram results. What Is An Echocardiogram? During an echocardiogram, a doctor will generate a real-time image of the heart. The test monitors ultrasound, high-frequency sound waves, which are projected through the chest and bounce back to create an image of your heart. Jan 27, · With ultrasound scans, the scanned images show up immediately on the device's screen. This means that often the person operating the scanner can give immediate feedback - provided they're suitably qualified to interpret the images. So, most likely you'll get a .
Fed up with deciphering jargon, Dr Attiya Khan asked consultant gynaecologist Mr Rehan Khan for a plain language guide to understanding pelvic ultrasounds. How many times have you seen a report like this see below and thought: 'What on earth does this mean?
How do I know when the endometrium is significantly thickened? At what point do I refer to a gynaecologist? I have thought this a few times, so I decided to acquire some expert advice from a consultant obstetrician and gynaecologist on finding a way through the jargon.
The uterus The position describes whether the uterus is anteverted tilting forwards or retroverted tilting backwards or axial inbetween. Around 80 per cent of the time the uterus is anteverted and 20 per cent of the time it is retroverted or axial. A retroverted uterus is usually normal but if discovered on a scan it is important to correlate it to the clinical picture.
In patients presenting with chronic pelvic pain and dyspareunia, the retroversion may be as a result of adhesions from chronic PID or chronic endometriosis. Size is usually commented on both subjectively for example, 'the uterus appears bulky' and objectively the diameter of the uterus.
In a nulliparous woman the normal anteroposterior AP diameter is around cm with a normal uterine length of about cm. These figures are increased in women who have had children and decreased in postmenopausal women. A uterus is almost never abnormally small. Uterine enlargement is nearly always due to fibroids, and, if possible, the sonographer will measure each one and describe their position as submucosal within the cavity , subserosal outside the cavity or intramyometrial within the wall.
This description is important when considering an IUD or IUS because submucosal fibroids may cause a coil to be expelled.
Fibroids do not usually need referral unless they are causing symptoms, such as bleeding or pressure symptoms. In addition to changes caused by fibroids, the uterus may have varying shapes because of embryological abnormalities. The clinical implications will depend on the patient's presentation, and may include menorrhagia, amenorrhoea, subfertility and recurrent miscarriage.
Echotexture and echopattern describes the ultrasound appearance of the myometrium. For example, the description may be 'normal', 'suggestive of fibroid change' or 'suggestive of adenomyosis'. The endometrium The normal appearance of the endometrium is smooth and regular versus a disrupted appearance.
The appearance and thickness of the endometrium varies with different stages of the menstrual cycle. Endometrial thickness is mm during menstruation, mm in the proliferative phase, up to 11mm in the periovulatory phase and mm in the secretory phase.
Abnormal thickness can be caused by polyps, fibroids, hyperplasia and cancer. The ovaries As with the uterus there are subjective comments about the appearance of the ovaries and then objective comments about the size, shape and echotexture are made. The average normal size is 3. After menopause the ovaries generally measure 2cm x 1. There may be cysts present on the ovaries. These may include follicular cysts, corpus luteum cysts, haemorrhagic cysts, endometriomas, simple cysts and polycystic appearing ovaries.
Symptomatic cysts in the premenopausal woman also merit referral. In the postmenopausal woman any new cyst needs referral in order to exclude malignancy. It is reassuring if ovaries cannot be seen on scan as this excludes pathology. Tubes are not usually seen - if visible there is usually pathology, such as hydrosalpinx. Its presence is usually physiological from a ruptured follicular cyst, but it may also be associated with a ruptured ovarian cyst or PID.
References 1. Eberhard Merz. Ultrasound in Obstetrics and Gynaecology. Atlas of Ultrasound Measurements. Elsevier Health Sciences, Philadelphia Sign in. Register Now. Stay signed in. Abnormal endometrial thickness can be caused by polyps Photograph: SPL. Browse women's health news, education and analysis Pelvic ultrasound report The uterus is anteverted and appears bulky in size, shape and echopattern.
It measures AP diameter 41mm and uterine length 79mm. Two small anterior intramural fibroids measuring 14mm and 16mm are seen. The endometrium appears smooth and regular measuring 6mm. Last menstrual period one to two weeks. No adnexal masses seen. Moderate free fluid in the pouch of Douglas most likely post-ovulatory but PID cannot be excluded. The pouch of Douglas Fluid in the pouch of Douglas can be measured. Investigation of post-menopausal bleeding. SIGN guideline 61, GP Online recommends Browse women's health news, education and analysis Read more.
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