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Doctor insights on:
Multiple Peripheral Follicles With Echogenic Stroma Means
1
The ultrasound report says "bilateral ovary are bulky with multiple peripherally arranged small follicles and echogenic stroma". Anything serious?

Possibly: This pattern may be seen with poly cystic ovaries. Ask your doctor to discuss with you and tell him or her of any abnormal hair growth on your body ...Read more
Follicle (Definition)
An ovarian follicle contains a hollow ball of cells with an immature egg in the center. It is a structure within the ovary containing the egg that ...Read more
2
Both ovaries show multiple peripheral follicles with a central echogenic stroma what does it mean?

Many things : Some might say a string of pearls is poly cystic ovaries. Some may say that is a normal appearance. Without analysis of your hormones a diagnosis is not made by ultrasound alone. Best talk to your doctor ...Read more
3
''both ovaries show multiple small 4-6 mm predominantly peripherally placed follicles with increased stromal echogenicity likely pcod. Pod is clear''
?

No: Ultrasound is only 1 part of a pcos diagnosis: you must also have irregular periods, and must have some evidence of excess androgen (usually high testosterone in blood, though it may vary.) if you have both these things, and if the ultrasound is as described, then it is likely you do have pcos. ...Read more
4
Both ovaries have multiple follicles of varied sizes with cortical / subcapsular location. Medullary stroma is relatively echogenic . is it harmful?

Review with doc: Basically it sounds like you are reading the radiologist description of normal ovaries. The best thing to do is to take the report to the doctor who ordered it. They can interpret the results in the clinical context of your situation. ...Read more
5
Small peripheral follicles of the size 4-6mm with central echogenic stroma what does it mean?

Talk to derm: This requires your doctor to interpret with the context of the suspected condition in mind. By itself, this finding means little. ...Read more
6
Am 23, my us scan say"both ovaries show multiple small follicles along the periphery with increased central stroma- subtle poly cystic ovarian pattern?
Probably: but if you have regular periods, not a problem ...Read more
7
Multiple tiny follicles with echogenic stroma seen in both Ovaries is this normal im 32?
Yes it is: yes that is normal, they are your follicular cyst that your ovary make every month. if pain increase you can monitor their growth by ultrasound. ...Read more
8
Endometrium is tubular to elongated endometrial glands, separated by dense stroma, and focal crowding of stroma with areas of hemorrhage, nonsecretory?

Abnormal bleeding: The biopsy you described suggests that you are not having regular cycles and your doctor wanted to confirm that there was not a precancerous condition in your uterus. If you go for long periods of time without a menstrual cycle and still have a thick endometrium, it can become precancerous. You may need to take medications to regulate your cycles to prevent these changes. ...Read more
9
Sir, ultrasonography report OF my (28yr) says that raised stromal echogenicity with multiple peripheral cysts in ovaries. IMPRESSION : PCOD?

Pre diabetes: PCOD or POCS is polycystic ovarian disorder or syndrome. It is typically seen in women who have an elevated body mass index and insulin resistance. The answer is to treat yourself like a diabetic with low carbohydrate diet and 210 minutes of exercise a week. Not surgery! ...Read more
10
My u/s pelvis shows right ovary with multiple small follicles arranged in periphery with central echogenic stroma apparently right polycystic ovary?
Suggestive of PCO: Your sonographic findings are suggestive of PCO but may not be entirely or necessarily diagnostic for PCO unless the ovarian volume was larger than normal, the multiple follicles numbered 10 to 12 and they measured 5 to 10 mm in diameter. ...Read more
11
Bilateral thyroid lobes are enlarged and show diffuse heterogeneous echotexture with increased vascularity. What does that mean?

Thyroid: What have your doctors said about this. There are many options that include surgery or doing nothing. You can rely on your doctors for your management. If your thyroid levels are OK and your thyroid gland is not very enlarged it would be OK to have nothing done aside from regular examination. ...Read more
12
Diffusely heterogeneous thyroid gland with multiple bilateral hypo echoic micro nodules. Increased vascularity.
What does this ultra sound result mea?
Thyroidologist: A thyroidologist or endocrinologist is best qualified to evaluate and advise you about your thyroid status and ultrasound findings and to determine whether a needle biopsy and/or referral to a thyroid surgeon is advisable. As a rule multiple nodules are more apt to be benign as opposed to a single cold nodule in males. Follow-up in these cases are also important even after the first consultation. ...Read more
13
Hello doc
Multiples small follicles of less than 0.6cms seen in both ovaries with echogenic stoma resembling morphologically polycystic ovaries means?

Polycystic ovarian: syndrome is a complex disease involving many hormonal pathways in your body, thereby affecting your weight, your metabolism, your reproductive cycle, your hair growth, your mood/ psychological well being, and your skin. Here is a link to learn more: https://www.womenshealth.gov/publications/our-publications/fact-sheet/polycystic-ovary-syndrome.html ...Read more
14
What is meant by abundant benign appearing epithelial cells hemosiderin-laden macrophages and colloid present. Also scattered micro follicles noted?
It's good news: Sounds like you had a biopsy. I'm guessing thyroid. Epithelial cells, colloid, micro follicles all belong there and confirm an adequate sample was taken. No cancer cells are reported (good news!) hemosiderin laden macrophages can mean local bleeding, inflammation, or (rarely) that you store too much iron. Please ask your doctor about whether you should have your iron storage levels checked. ...Read more
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15
1 CM solid node l thyroid lobe a mixed micro and macro- follicular lesion fna consists of follicular cells in small follicles microfollicles & small sheets displaying extensive hurthle cell changes ?

Now benign: From your information it isa benign adenoma , hurthle cell are little larger pinkish cell , but have higher incidence of malignant transformation than follicular , to hurthle cell carcinoma , unlike follicular , it will spread to lung , bone etc, follow your doctor's advice. ...Read more
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16
Ultra sounds result enlarge size w/multiple small hyperoechoic nodules,there are some calcification foci,no areas of degeneration?
Ultrasound of what?: Need more information and what the question is. Thanks ...Read more
17
Liver cirrhosis- demostrates heterogenous coarse echotexture with nodular outline, echogenic foci are seen, what does it means and need advise.

Cirrhosis: It means that the liver is not functioning well. You need to be evaluated soon by a liver specialist and will need further testing to find out reason why you developed this condition. Also you need to get evaluated to find if there are any complications has developed due to cirrhosis. ...Read more
18
What does all this mean..Heterogeneous glandular tissue w mild increased vascularity suggestive of thyroiditis/no focal lesion identified?

Goiter/FNA: If this is your fna/fine needle aspirate result, then your doc will likely recommend medication and monitoring for your thyroid disease. ...Read more
19
What percentage of heterogeneous, complex peripherally vascular thyroid nodules are cancer?
It depends: Thyroid nodules are mostly ( 80-90%) benign . But it depends on their size and rate of change(growth in their size). A repeat Ultrasound study of your Thyroid should be done(I am sure your doctor must have advised you to do so)) in 6 to 12 months time to reassess for any growth in the nodules in your Thyroid. ...Read more
20
U/s w fna: follicular lesion of undetermined significance. A signifiicant proportion of microfollicules admixed w colloid & scattered normal follicles?

Follow up: This is most likely a colloid adenoma or adenomatous nodule, probably benign. Without odd nuclei or overlap, the chances of cancer are less, and your diagnosis has already ruled out a highly aggressive cancer. You may get a repeat fna, ultrasound, molecular testing. If watching it is your physician's recommendation, be sure to report any further enlargement. ...Read more
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