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Doctor insights on: What Does Free Fluid On Ultrasound Mean

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Ultrasound showed a "small amount of free fluid within the right adnexa". What does this mean?

Ultrasound showed a "small amount of free fluid within the right adnexa". What does this mean?

It is normal: For premenopausal females to have a small amount of simple, free fluid in the pelvis/adnexal area. Free means that is it free floating and not contained in any structure such as an abscess. ...Read more

Dr. Michael Gabor
2,275 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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What does free fluid mean on pelvic ultrasound?

What does free fluid mean on pelvic ultrasound?

Depends: Some small amounts of fluid in the female pelvis is physiologic. Larger amounts can be associated with ruptured ovarian cyst. Pelvic inflammatory disease can produce pelvic fluid.
In the case of acute appendicitis free fluid can occur as well. Inflammatory bowel disease is another cause of fluid production. ...Read more

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What does this Mean on an ultrasound results if it says No free fluid in the pelvic cul-de-sac?

What does this Mean on an ultrasound results if it says No free fluid in the pelvic cul-de-sac?

Sometimes: Free fluid in the pelvis can be a sign of a pathologic process. If there is no free fluid, it is normal. ...Read more

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What does there is a moderate amount of free fluid in the pelvis mean after a ultrasound exam?

What does there is a moderate amount of free fluid in the pelvis mean after a ultrasound exam?

Sometimes normal: Fluid in pelvis in females is not uncommon. Free fluid is observed during all phases of the menstrual cycle. Sometimes fluid can be seen with ovarian cysts rupture. Fluid can also occur with pelvic infections and appendicitis.If no other abnormality or active process is seen, then fluid is probably physiologic. ...Read more

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What does small amnt simple free fluid in rt adnexa. Mean, I was having a lot of pain we were looking for a cyst during the pelvic ultrasound.

What does small amnt simple free fluid in rt adnexa. Mean, I was having a lot of pain we were looking for a cyst during the pelvic ultrasound.

It is normal: For premenopausal females to have a small amount of simple, free fluid in the pelvis/adnexal area. Free means that is it free floating and not contained in any structure such as an abscess. Simple means that there are no " echogenic foci" within it which could represent blood or pus. ...Read more

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I had an ultrasound at about 5 weeks. They saw a very small sac but said there was a lot of free fluid in my uterus maybe septate. What does it mean?

I had an ultrasound at about 5 weeks. They saw a very small sac but said there was a lot of free fluid in my uterus maybe septate. What does it mean?

Waterbag: Early in pregnancy the walls of the waterbag are not as closely attached to the wall of the womb as they are lateron. On ultrasound the shadow of part of the waterbed is seen with fluid between the waterbed and the wall of the womb, creating an image of septation. This issue vanishes as pregnancy progresses. ...Read more

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Hi I am 27 and had a pelvic & a transvaginal ultrasound it was extremely painful and the tech said I have free fluid in my pelvic what does this mean?

Hi I am 27 and had a pelvic & a transvaginal ultrasound it was extremely painful and the tech said I have free fluid in my pelvic what does this mean?

Few things: Sometimes the exam can be painful just because it is an uncomfortable procedure other times because there is an abnormality they are pressing on. The free fluid depends on how much. A tiny amount is normal in females. ...Read more

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What does "no significant free fluid in pelvis" mean on ultrasound? Had baby 2 months ago and still no period yet (4months after). Normal?

Good news: In women, it can be normal to have a small amount of fluid in the pelvis, usually from a ruptured ovarian follicle.

Sometimes, radiologists report something like "no significant free fluid in pelvis" instead of saying "there is physiologic free fluid", or "there is a small amount of free fluid".

Any way you say it, it means there is no concerning amount of fluid to have to further investigate! ...Read more

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I am going through fertility treatments so I have had many transvaginal ultrasounds lately. It seems there is always free fluid in the right and left adexa, culdasac, and endocervical fluid; what could this mean?

I am going through fertility treatments so I have had many transvaginal ultrasounds lately. It seems there is always free fluid in the right and left adexa, culdasac, and endocervical fluid; what could this mean?

Not sure - unusual: There really should not be a lot of free fluid unless it is around the time of ovulation. So the question is whether you had a ruptured cyst or one of the fallopian tubes is full of fluid (hydrosalpinx). A little fluid is normal but anything significant is unusual. If it is in the uterus itself, then a uterine polyp is a possible explanation. ...Read more

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Sent for ultrasound: normal uterus size, bladder, ovaries, no free fluid. Myometrium's homogenous, endometrium's hetereogeneous 16mm? What's it mean?

Sent for ultrasound: normal uterus size, bladder, ovaries, no free fluid. Myometrium's homogenous, endometrium's hetereogeneous 16mm? What's it mean?

Normal: From what you say, this sounds like a normal study. Of course you didn't say why you had the study in the first place. That might change things. Best wishes ...Read more

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What does my uterus ultrasound mean by: Mild free fluid in cul-de-sac and around right ovary. However no solid or cystic ovarian lesion observed.

Sounds ok: All radiology studies must be interpreted by the doctor who ordered it in order to place the findings in the proper clinical context. Most women have a small amount of free fluid pelvis below the uterus (cul de sac). The report also states that nothing abnormal was seen in the ovaries. ...Read more

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Some free fluid on ultrasound of uterus. Endometrial 8 mm, d&c 4 weeks ago, 8 weeks postpartum. Likelihood of more retained products of conception?

Some free fluid on ultrasound of uterus. Endometrial 8 mm, d&c 4 weeks ago, 8 weeks postpartum. Likelihood of more retained products of conception?

Retained: With an 8mm endometrial stripe and post D&C, I doubt any retained products or placenta. Pay attention to your bleeding though and if any changes notify your physician. Fluid in the endometrial cavity is common after a postpartum D&C. Hope this helps. ...Read more

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Had a ultrasound done and it showed free fluid in my ovary, he said it look like a snow globe with things floating but didn't seem worried, what is it?

Had a ultrasound done and it showed free fluid in my ovary, he said it look like a snow globe with things floating but didn't seem worried, what is it?

An ovarian cyst: For very specific details about your specific ultrasound report you will need to ask the doctor who did the sonogram. Otherwise we would simply be guessing. ...Read more

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Transvaginal ultrasound is free fluid, bad?

Transvaginal ultrasound is free fluid, bad?

Not necessarily: Some free fluid can be normal. It can also be from a ruptured ovarian cyst. Also ascites is free fluid from various diseases. But a little fluid usually not bad. Your doctor will help determine the cause. ...Read more

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32yrs old female, ultrasound impression: a collapsed cyst in the left ovary with mild adjacent free fluid. Interpret please?

32yrs old female, ultrasound impression: a collapsed cyst in the left ovary with mild adjacent free fluid. Interpret please?

Likely: A functional cyst/follicle which has recently ruptured, these are invariably benign. They might recommend a follow up US just to document complete resolution. ...Read more

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9 week postpartum, five weeks post d&c for retained peices placnta, now ultrasound show free fluid, doc wants to preform hysteroscopydue to spotting?

He wants to be sure: That there were not any retained placenta parts that were missed. Ask him what the risks and benefits of proceeding now, vs watching and waiting. He knows your history the best. ...Read more

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Gallbladder removed 2 weeks ago. Had ultrasound to f/u on rt lower qt pain. It showed free fluid in pelvic region & morrisons pouch (1/2 cup). Now what?

Gallbladder removed 2 weeks ago. Had ultrasound to f/u on rt lower qt pain. It showed free fluid in pelvic region & morrisons pouch (1/2 cup). Now what?

Bile leak?: Free intraperitoneal fluid and pain after cholecystectomy raises the possibility of a bile leak. Follow-up with your surgeon for further evaluation. Good luck! ...Read more

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Had a ultrasound last week. Have edometrial stripe of 6.1, small complex cyst, and mild free fluid in pelvis. Scheduled for end/biopsy. Worried!

Had a ultrasound last week. Have edometrial stripe of 6.1, small complex cyst, and mild free fluid in pelvis. Scheduled for end/biopsy. Worried!

Probably normal: The endometrial stripe measurement would be thick if you were past menopause. The biopsy is to check the tissue and make sure nothing worrisome is occurring. The cyst may be resolving on it's own (which is why the free fluid in the pelvis) but may be followed with ultrasound. If no resolution further evaluation may be necessary. ...Read more

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I had a pelvic ultrasound and I was told there was free fluid in pelvic area. I was on my period when the exam was done. Could this be the Reason?

I had a pelvic ultrasound and I was told there was free fluid in pelvic area. I was on my period when the exam was done. Could this be the Reason?

Free fluid: There are numerous causes of free fluid. In your age group, seeing a small amount of free fluid in the pelvis can be normal. Large amounts are not normal. Your doctor can best tell you the significance of the free fluid, in the context of your clinical picture. ...Read more

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What is a heterogeneous cyst? And nabothian cyst? That's what the ultrasound report mentions I have within the lower uterine cavity. No free fluid

What is a heterogeneous cyst? And nabothian cyst? That's what the ultrasound report mentions I have within the lower uterine cavity. No free fluid

Physiologic: Nabothian cysts are fluid filled cysts that are noted on the cervix and are often detected on ultrasound. These are benign and form during formation of all your organs as a fetus. These are normal physiologic variants that are commonly seen in the general population. ...Read more

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I recently had a pelvic ultrasound and the results found a complex cyst with a mural nodule there was also a septated cyst found with no free fluid.

I recently had a pelvic ultrasound and the results found a complex cyst with a mural nodule there was also a septated cyst found with no free fluid.

Results depend: On several factors, including your age, size of cyst, and associated symptoms, as well as your medical history. A complex cyst is a septated cyst. I recommend you follow up asap with the clinician who ordered tis ultrasound to discuss results and follow-up plan. Take care! ...Read more

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What is significance of "free fluid" around uterus (on ultrasound) on post menopausal woman? Does this cause a sense of fullness and bloating?

Look into further: This really depends. Some amounts of free fluid can be normal but it depends on the amount. This really needs to be look into further. It does not necessarily cause fullness and bloating. ...Read more

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Recently had vag ultrasound. Result: multiple nabothian cysts. Left ovary almost double in size with 2.9 CM cyst. No sig free fluid. Help? Cancer?

Recently had vag ultrasound. Result: multiple nabothian cysts. Left ovary almost double in size with 2.9 CM cyst. No sig free fluid. Help? Cancer?

Pelvic ultrasound: Nabothian cysts are a benign incidental finding, not cancer. If the ovary is enlarged only because of the presence of a cyst, and it is a simple cyst, likely nothing to worry about. ...Read more

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A lot of lower back pain ultrasound showed free fluid and enlarge kidney blood tests were normal I'm always exhausted does this explain the tiredness?

A lot of lower back pain ultrasound showed free fluid and enlarge kidney blood tests were normal I'm always exhausted does this explain the tiredness?

Need work up: Need additional testing as to why have ascites (free fluid). Liver, kidney and heart disease are the usual culprits. Enlarged kidney is a relative term. Would purse testing. Treatment would depend on cause of the fluid gain. A blood work, urine test and physical exam should offer insight. Often patients need diuretics (water pills) to get rid of fluid gain. Establishing cause is KEY. ...Read more

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Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?

Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?

No, not common: Bowel obstruction can occur due to post op adhesions (uncommon) or tumor left behind (this will happen if the cancer was advanced/late stage. Your doctor will have to sort out which of these two possibilities apply to your case. ...Read more

Effusion (Definition)

Increased joint fluid or ...Read more