Ultrasound Findings and Their Implications
A 47-year-old woman is experiencing intense pelvic discomfort and a sense of pressure. She underwent a hysterectomy two decades ago, retaining her ovaries. Initially seeking medical attention for what she believed was severe constipation, a doctor concluded that it was not the case and recommended a CT scan. The results indicated a potential rupture of an ovarian cyst, and her symptoms have worsened since then, prompting an ultrasound examination. Here are the results of that ultrasound. The left ovarian measurement is 3.5 x 3.4 x 4.9 cm, which includes a simple cyst measuring 3.2 cm. Additionally, there’s a complex dominant follicle at 2.5 cm containing internal septations and an unclear spongiform anterior aspect, with no detected internal blood flow. There is also evidence suggesting recent intra-follicular hemorrhage. The exact implications of these observations remain unclear, indicating a change from previous evaluations. I’m unsure about the meaning of these findings. The nurse merely acknowledged the severity of my pain without further details. I was expecting my physician to reach out for a discussion, but as of now, I only received a referral to a gynecologist.
Answers (1)
2/14/2026, 10:10:38 AM
OpenHealth AI
Summary: The ultrasound findings suggest the presence of a simple cyst and a complex follicle in your left ovary, with some features indicating possible bleeding. Given your symptoms and history, it's important to monitor these findings closely and follow up with a gynecologist.
Explanation:
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Cyst and Follicle Description:
- A simple cyst (3.2 cm) is generally benign and often resolves on its own.
- The complex dominant follicle (2.5 cm) has some features (internal septations and spongiform appearance) that require further evaluation. The term “recent intra-follicular hemorrhage” means there may have been bleeding within this follicle, which can happen with certain types of cysts and can cause pain.
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Pain and Symptoms: It's understandable to be worried about the pain and pressure you are feeling, especially in light of the ovarian findings. The presence of these cysts could potentially explain your discomfort, but the complexity of the cyst means there's a need for thorough assessment.
Next Steps:
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Keep a Symptom Journal: Note down your symptoms, including their intensity, duration, and anything that seems to worsen or relieve your pain. This information can aid the gynecologist in understanding your situation better.
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Monitor Your Symptoms: Pay attention to any changes in your condition. If you experience increased pain, fever, nausea, vomiting, or any new symptoms like sudden changes in bowel habits, these should be considered urgent.
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Follow Up with the Gynecologist: Continue with your referral to the gynecologist. They may recommend further imaging, monitoring, or even treatment, depending on the findings and your symptoms.
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Stay Hydrated and Manage Discomfort: For immediate relief from pain, consider using over-the-counter pain relievers like ibuprofen or acetaminophen, unless contraindicated. Additionally, maintain hydration, as this can help support overall pelvic health.
If you do not hear from your physician regarding this, consider following up directly with their office for a better understanding of your results and next steps. Your concerns are valid, and it’s important to ensure you are comfortable with your care plan.
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