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Doctor insights on: What Does A Endometrial Mass Look Like On A Trabsvaginal Ultrasound

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I just had a transvaginal ultrasound that said that there was a "5mm hyperechoic endometrial mass". Is there any chance this is a decidual reaction?

I just had a transvaginal ultrasound that said that there was a "5mm hyperechoic endometrial mass". Is there any chance this is a decidual reaction?

Sonohystogram: If an endometrial mass was seen on transvaginal sonogram this is typically followed up with another test that allows visualization of the area. A specialized sonogram called a sonohystogram is a simple next step. Some doctors can look at the area in question with a camera called a hysteroscope. Endometrial polyps or submucosal fibroids are the most likely cause ...Read more

Dr. Michael Gabor
2,270 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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TV Ultrasound showed 6cm solid adnexal mass but ct did not show it? Only Ct findings - fluid and/or endometrial thickening in uterus. Any explination?

TV Ultrasound showed 6cm solid adnexal mass but ct did not show it? Only Ct findings - fluid and/or endometrial thickening in uterus. Any explination?

Possible resolution: If there was a few days or more between tests, it is possible that whatever lesion that was seen on ultrasound resolved on its own. Ultrasound uterus and ovaries is sometimes a challenge based on intestinal issues and potentially what was seen on ultrasound could have been shadows of bowel. If you continue to have symptoms, repeat imaging in 4-6 weeks could be considered. ...Read more

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What does a mass look like on a transvaginal ultrasound?

What does a mass look like on a transvaginal ultrasound?

Depends: Mass can mean solid, fluid filled (cystic) or something in between. Cysts look black. Solids are various shades of grey. Shapes are variable. ...Read more

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Can endometrial cancer look like adenomyosis on ultrasound?

Can endometrial cancer look like adenomyosis on ultrasound?

Possibly: Endometrial cancer in the early stages can appear as a widened endometrial strip on ultrasound. This can mimic adenomyosis. If there is bleeding, this should be evaluated by a gynecologist and perhaps with a d&c. ...Read more

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Why didn't my endometrial adenocarcinoma show up on an ultrasound and just after d and c?

Why didn't my endometrial adenocarcinoma show up on an ultrasound and just after d and c?

A good question: For your gynecologist. Ultrasound is an appropriate test for endometrial adenocarcinoma but it will miss small tumors. A D&C may be done for therapeutic purposes, but is good for detecting adenocarcinoma if the sample is examined by a pathologist. Even so, a D&C may miss tumors because it is a blind procedure; or depending on the size and location of the tumor. ...Read more

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Had D & C for 9mm endometrial thickening. Benign. Dr wants to do nothing except ultrasound in year. How likely is it that lining will thicken again.

Had D & C for 9mm endometrial thickening. Benign. Dr wants to do nothing except ultrasound in year. How likely is it that lining will thicken again.

Review pathology: I would contact your obgyn and review the pathology report from the D and C to confirm that no abnormalities were seen. Then you can discuss the various options. ...Read more

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What does a black mass from ultrasound mean?

What does a black mass from ultrasound mean?

"Black mass": Does not provide any information with regard to the possibilities. In ultrasound we don't use the word "black". We use different language such as solid, hypoechoic, etc. To describe masses and possibilities depend on the specific ultrasound appearance, organ being studied, patient history, lab tests, and whether or not there is vascular flow associated with the mass. ...Read more

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Why would an approximately 14mm and growing subcutaneous soft tissue mass, visible and palpable not be seen on ultrasound?

Why would an approximately 14mm and growing subcutaneous soft tissue mass, visible and palpable not be seen on ultrasound?

US: Because it has the same echogenicity of the surrounding tissue. That means it is the same structure of the surrounding tissue ...Read more

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Could a trans-vaginal ultrasound detect endometrial hyperplasia?

Could a trans-vaginal ultrasound detect endometrial hyperplasia?

Hard to be certain: Ultrasound is never 100%, but several findings are suspicious for endometrial hyperplasia or even cancer. For instance, if your lining is excessively thick for your age or if there is a suspicious mass seen within the uterine cavity on the sonogram, hyperplasia or cancer may be present. However, other findings can cause similar images on sonogram. Also, diagnosis can only be made with a biopsy. ...Read more

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An ultrasound showed a my endometrial lining is only 4mm and there are benign-appearing follicular cysts. Could it be pcos?

An ultrasound showed a my endometrial lining is only 4mm and there are benign-appearing follicular cysts. Could it be pcos?

Not likely: The diagnosis of PCOS can not be made on the basis of your ultrasound; it requires information on your personal Gyn and General health history plus some specific sonographic criteria and/ or blood hormonal tests. Your gynecologist or reproductive endocrinologist should be consulted to answer your concern. ...Read more

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Ultrasound showed endometrial hyperplasia and fluid. What does this mean?

Ultrasound showed endometrial hyperplasia and fluid. What does this mean?

Hyperplasia: Technically endometrial hyperplasia can only be diagnosed by an endometrial biopsy. An ultrasound can reveal a thickened endometrium which may aid in the decision process to have a biopsy. Endometrial hyperplasia itself is not malignant but left untreated it could potentially develop into endometrial cancer. Speak with your doctor and see if you need a biopsy. ...Read more

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How can a palpable lump on my back show no abnormality or mass on an ultrasound?

How can a palpable lump on my back show no abnormality or mass on an ultrasound?

Lipoma: A focal deposition of fat (lipoma) often does this. If your doctor thinks this is consistent with your physical exam then nothing more is required (benign diagnosis). ...Read more

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Is it normal for an ultrasound be done immediately after a mammogram if a mass shows up.

Is it normal for an ultrasound be done immediately after a mammogram if a mass shows up.

It depends: It depends on the workflow of the facility. Some may have immediate interpretations, with the availability of ultrasound before the patient leaves. Others may not be able to accomodate the ultrasound right away, and might have to schedule it for another day. In any case, it is fairly standard to get an ultrasound to evaluate a mass, it is variable as to whether the US can be done immediately. ...Read more

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Had ultrasound an endometrial stripe thickness of 12mm was found and slight fluid in cul de sac. What does that mean?

Had ultrasound an endometrial stripe thickness of 12mm was found and slight fluid in cul de sac. What does that mean?

Depends: The endometrial thickness has limited use in premenopausal women as it will fluctuate throughout the menstrual cycle. The appearance is more important. Ask your doctor to interpret the sonogram in the clinical context of your unique situation to better understand if this is a normal sonogram or not. ...Read more

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How would you know if the report of an ultrasound of a mass or lump description is concerning or indicates clinical correlation?

How would you know if the report of an ultrasound of a mass or lump description is concerning or indicates clinical correlation?

Ultrasound verbiage.: A Radiologist will often hazard at least a few potential diagnoses and/or suggest that more testing is advised in the body of the ultrasound report. But results always have to be put into their appropriate context by the doctor who ordered the test in the first place. ...Read more

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