Doctor insights on:
Abnormality On Transvaginal Ultrasound
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
Many possibilities: An enlarged thyroid (goiter) has many causes and possible treatments. Is it causing hyper/hypothyroidism (i.e. Graves disease, toxic goiter)? Check tsh, ft4. Maybe anti-tpo. Is the goiter nodular or smooth? This may require an ultrasound, with biopsy of any suspicious nodules. Is it really big and impair your swallowing/breathing? Then maybe surgery. See your endocrinologist. ...Read more
Shadowing: Is an ultrasound term often seen behind calcification and some solid masses as a result of sound wave reflection. I don't know if this is what you are referring too. If used in some other context the term doesn't convey useful information. ...Read more
Ultrasound: A combination of ultrasound (either transabdominal or transvaginal), B-hcg levels, and clinical information are used to diagnose a miscarriage. CT is not used because of its ionizing radiation. ...Read more
Normal variation: The position of the ovaries varies quite a bit from women to women within the pelvis. Secondly, gas within adjacent bowel loops will distort ultrasound images and 'hide' anything behind that loop. Thus looking from a different angle ie transvaginally, we can find the ovaries that we can see on the transabdominal portion of a scan. ...Read more
No: A transvaginal ultrasound is done by inserting an ultrasound probe into the vagina to better evaluate the pelvic organs. Lubrication is applied to the top of the probe to ease insertion. An ultrasound should not be painful. Some women describe a "pressure" sensation but pain should not be experienced. ...Read moreSee 1 more doctor answer
One of results on CT said, "cyst right adnexa recommended correlation w/ f/u pelvic/transvaginal ultrasound". So what's "cyst right adnexa"mean?
Usually ovarian cyst: This is a very common finding in patients your age. The u/s will be better able to characterize the cyst. ...Read more
Can a transvaginal ultrasound and/or pelvic ultrasound show enlarged lymph nodes around the ovary?
Yes,: but not reliably. Regional bowel gas can obscure pelvic lymph nodes. Also the position of the ovaries is variable, and they may not be situated next to internal iliac nodal chains. So not seeing enlarged lymph nodes on a pelvic sonogram is not sufficient to exclude them. CT or MRI is much better. ...Read moreSee 1 more doctor answer
Different imaging.: Sometimes things can be well demonstrated on ct and not ultrasound and vice versa. I'd need your studies to compare. Occaisionally, there are artifacts with either modality that can mimic a mass when there really isn't one. Bowel loops can often do this with either test. ...Read more
Could a pregnancy not show up on transvag. Ultrasound at possibly 6-7 weeks pregnant? Like no sac and 3 mm endometrium shown on ultrasound.
No: There should be findings on Ultrasound at that point. They also screen the ovaries and tubes to make sure it is not an ectopic pregnancy. If you US is negative then you're either not pregnant or so early that it won't show, but that would be only in the first couple weeks not at 6-7 weeks. ...Read moreSee 1 more doctor answer
Yes: Almost all test and imaging studies have false positive and false negative results. Early ovarian cancer is particularly difficult to detect as the normal ovary often has cystic changes and varies in size during the reproductive period. Having said that, transvaginal ultrasound is a useful and perhaps the best test for detecting ovarian cancer. ...Read moreSee 1 more doctor answer
Give indication: Xr, and anything without direct visualization give an indication as to what is suspected. The symptoms, the exam and the history makes a doctor arrive at a diagnosis as the most likely thing. If in doubt, then direct visualization needed. I hope that gives you reassurance. ...Read more
How accurate is a transabdominal ultrasound in assessing an ovarian cyst? Had to stop transvagingal ultrasound, extremely painful
An ultrasound is an imaging study in which a probe emits and receives sound waves which rebound off of internal organs in order to visualize them. For a transvaginal ultrasound a specially designed probe is lubricated and placed into the vagina in order to better ...Read more
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