Medical Imaging Report Overview
A 34-year-old female, with a previous diagnosis of stage 3b colon cancer in 2022, gave birth in June. Currently, she is not taking any medications aside from Famotidine and a multivitamin. She undergoes a CT scan every six months to monitor her health post-cancer, with the last one in July showing no abnormalities. However, a scan from January detected a 1cm lesion on her right ovary, prompting a follow-up ultrasound today. She seeks further clarity on these findings ahead of a scheduled consultation. **Ultrasound Findings:** - **Uterus:** The uterus is positioned anteverted and retroflexed, with a homogeneous myometrium devoid of fibroids. - **Endometrium:** The thickness of the endometrial echo complex appears normal. **Ovaries:** - **Right Ovary:** Better visualized via transabdominal approach, displaying areas of hyperattenuation, with some showing a comet tail artifact. - **Left Ovary:** Appears normal in both size and shape. There is an absence of free fluid within the pelvic cavity. **Measurements:** - Uterus: 9.7 cm x 4.5 cm x 4.4 cm - Endometrium thickness: 5 mm - Right Ovary: 3.5 cm x 1.9 cm x 2.5 cm - Left Ovary: 2.1 cm x 1.8 cm x 3.2 cm **Conclusion:** The ultrasound and CT results indicate an intrinsic hyperattenuating lesion in the right ovary as of January 31, 2025, with associated comet tail artifact visible in the current ultrasound. These findings suggest a potential struma ovarii, a specific type of ovarian teratoma that contains thyroid tissue. A referral to a gynecologist is advised for further evaluation.
Answers (1)
3/21/2025, 1:40:43 AM
OpenHealth AI
It sounds like you're looking for clarity regarding the recent findings of the ultrasound following the detection of a lesion in your right ovary. Understanding this situation is crucial, especially after your experience with colon cancer. Let's break down the main points:
Summary of Findings
- Ultrasound Results: The ultrasound shows a lesion on your right ovary with features that might suggest a condition known as struma ovarii, which is a rare type of tumor. The left ovary appears normal.
- No Free Fluid: There is no indication of free fluid in your pelvic cavity, which is a good sign and generally less concerning.
Explanation
- What is Struma Ovarii? Struma ovarii is a type of teratoma that contains thyroid tissue. While it is important to monitor, it can be benign or malignant, and the ultrasound findings suggest further investigation is warranted.
- Importance of Follow-up: Continued monitoring and evaluation by a gynecologist will help determine the nature of this lesion and the best course of action.
Next Steps
- Consult with a Gynecologist: At your scheduled consultation, discuss the ultrasound findings in detail with the gynecologist. They may suggest further imaging, blood tests, or possibly a biopsy to get more information about the lesion.
- Keep Track of Symptoms: Monitor any changes in your health, such as abdominal discomfort, changes in bowel habits, or any new symptoms. Document these to discuss with your doctor.
- Stay Informed: Read up on the findings before your appointment so you can ask informed questions. Resources from trustworthy medical sites can help clarify any terms.
Remember, while it’s natural to feel concerned, many ovarian lesions can be managed effectively when monitored closely. You are taking the right steps by seeking clarification and follow-up care. Feel free to ask any further questions or express any more concerns!
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