Doctor insights on:
Echogenic Foci Endometrium
Uterus measures 8.1 x 3.2 x 5.3 CM myometrium appears heterogeneous, 2 tiny echogenic foci seen anterior to endometrium. What's this mean?
Probable fibroids: This probably means that you have small fibroids. These are the most common tumors of the female reproductive tract and almost never are or become cancerous. You only worry about them when they cause symptoms. Adenomyosis (internal endometriosis) can cause heterogenaity but does not usually show up on ultrasound. ...Read more
Endometriosis: Although there is some variation in the sonographic appearance of endometriomas, the classic endometrioma is a homogenous, focal lesions with low level echogenic. They may be uni or multilocular, contain thin or thick septations and may contain wall nodules (a finding also found in ovarian neoplasms). If these mural nodules are hyperechoic, or thickened lining. ...Read more
Depends on pt age: In a menstruating female this is likely normal though a 6 week f/u ultrasound should be obtained. However, in a post-menopausal female, this is abnormal regardless if they are on HRT or not and GYN consultation would be recommended. ...Read more
What does it mean by Thickened Endometrium. Echogenic material with no vascular signal noted in the endometrial and what are its effects?
Phase of cycle: The thickness of the endometrium may reflect the phase of your cycle. You didn't say how thick. As for echogenic material in the lining, it is not uncommon to have a calcification in the endometrial lining. As long as these findings are related to your cycle there maybe little effect. I would still discuss this with your doctors ...Read more
What does this mean? Endometrium demonstrates a thickness of 0.7 CM and is hyperechoic. Within the cervix, there is crescentic echogenicity, 1.7 cm.
Endometrium is heterogeneous mildly echogenic abnormally thickened 29mm is this mean cancer is a possibility?
What does cervical region shows echogenic endometrium with 5x5mm size irregular cystic area with mild hypervascularity mean. Is it decidual tissue.?
Doubtful: Decidual tissue is only present when you are pregnant. Assuming you are not pregnant, these findings on you ultrasound could represent a uterine polyp, a fibroid or a cancer in the uterus. You might want to consider having a biopsy of the inside of the uterus or a hysteroscopy. A hysteroscopy is a procedure where you look into the uterus with a small camera. Best wishes! ...Read more
This is a thickened: Endometrium. The endometrial thickness depends on your hormonal status during the month. This may need to be evaluated by your doctor. Things like infection can also thicken the lining so that it is best talk to your doctor. ...Read more
"Endometrium is 16mm in diameter & is quite heterogeneous & contains echogenic areas. This could be due to endometrial polyps or neoplasm". Cancer?
Maybe: You will probably get biopsied. Here's hoping it got caught early. Don't delay with the follow up your physician offers ...Read more
Is a D&C Required for an echogenic focus--endometrium polyp 1.2 x. 7 x 1 seen in transvaginal US 2 yrs. Ago, or watch & wait? No abnormal bleeding.
Probably not needed: Since most endometrial polyps in premenopausal women are benign and some small ones (like the one you may have had 2 years ago) may regress spontaneously, there is no clear or urgent need a D and C. If you are concerned or considered at high risk for endometrial hyperplasia/cancer, you may want to discuss risks/benefits of a saline sonohysterogram or an office hysteroscopy with your Gyn instead. ...Read more
I had a pelvic ultrasound that says "there are non mobile non vascular echogenic foci with some reverberation artefacts in the fundal endometrium"?
Hard to interpret: If you're not having any symptoms then this is not something I would worry about. It sounds like potential calcifications, which are likely benign. In general cancers present as thickened endometrium with vascularity. Fibroids have a more round and uniform apperance and polyps are more vascular. If these are small then that would be reassuring, but still continue follow up with your GYN. ...Read more
My endometrium thickness is 1.9 mm. Bilateral pcos thickened echogenic endometrium. Doc advice me for curettage under GA. Bleeding 1month. Why this happen?
Usually gallstones: This is a description of ultrasound appearance of stones in your gallbladder. ...Read more
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Earlier stage. The "echogenic foci" are tiny gall stones along the wall of the gall bladder. This is also the stage at which the gallstone dissolving medications:
URSO, Ursodiol, or Actigall may be helpful along with optimize lipoproteins (not cholesterol, though is a high percentage of gallstones) using both LCHF (NOT LFHC) foods & statins (Crestor+Zetia best track record) & help dissolve these. ...Read more
My diagnosis was: gallbladder is partially distended, showing two echogenic foci, not casting posterior acoustic shadowing, measuring 3.0 mm.
Polyp or cholesterol: Gall stones cast acoustic shadows, with out as you describing, may be polyps, which have high incidence of malignant transformation in a large polyp, or cholesterol deposits, causes severe cholecystitis. As in strawberry gb either way in a symptomatic case surgery advised please speak to your doctor. ...Read more
I am a trainee of radiology & have a query. "what can be the reasons of multiple tiny echogenic foci throughout the liver both central & peripheral.
Tiny echogenic foci: The most common cause of "tiny echogenic foci throughout the liver" is punctate calcification secondary to prior granulomatous infection. Certain organisms are more common depending on what part of the world the patient has lived. Alternative considerations include gas bubbles within the biliary tree (pneumobilia) or the portal veins. There are differentiating imaging features. ...Read more
Is liver showing diffuse increased parenchymal echogenicity with 2 small calcific foci in right lobe measuring about 2.5mm each is something to worry?
Concern: This question is best answered by a gastroenterologist or hepatologist (liver specialist). I would be concerned about chronic liver inflammation or fatty infiltration. I assume that you have been instructed to abstain from alcohol. A liver biopsy may be indicated for diagnosis. ...Read more
Maybe: It depends on where the foci were seen. Were they in the kidney or in the renal sinus? In the cortex, it could be artifact or fat. In the renal sinus, it could be artfiact or kidney stone. If there is a concern for stones, ct is the most accurate test. ...Read more