Ultrasound Reports

  Pelvis Fetal Wellbeing (FWB) / Growth Scan CLINICAL INDICATION: Fetal well being ( L.M.P = 05-03-2023…. GA 7 weeks+ 6 days) Single intrauterine fetus having CRL 14.4 mm corresponding to 7 weeks+ 5 days +/- 1 weeks by scan Fetal cardiac activity seen Fetal movements seen INCIDENTAL FINDING : A well defined anechoic cyst is noted in the right ovary measuring 4.0cm x 2.8 cm. No internal echoes or septae noted. No calcification or significant vascularity seen CONCLUSION: • Single alive intrauterine pregnancy corresponding to 7 weeks+ 5 days +/- 1 week by scan • E.D.D by scan 11-12-2023 • Right ovarian simple cyst…. Follow up adviced

  Pelvis URINARY BLADDER: Sonolucent contents. Normal wall thickness. No focal mass or calculus is seen. UTERUS:   10.4. x 4,3   x 6.1 Appear enlarged Normal in size,   Normal in shape, position & inhomogenous   echogenicity. Anteverted & Anteflexed. Normal midline echoes. No focal mass is seen. No free fluid is seen in posterior cul de sac. Endometrium canal measure   6. 0 mm. Seedling   fibroid is seen in the posterior wall 1.2 cm OVARIES: Right: 3.0 x 1.9cm. - Left: 2.9 x 1.5 cm. Normal in size & shape. No focal mass is seen. There is no ascites seen CONCLUSION: Uterus appear bulky and enlarge, show inhomogenous texture. There could be possibility of adenomyosis. ….for clinical correlation. Advice harmonal essay. Seedling   fibroid is seen in the posterior wall 1.2 cm

  Whole Abdomen LIVER: Normal in size & shape, showing smooth margins with homogenous echogenicity. No focal mass is seen. No intrahepatic duct dilatation seen.   Portal vein appear normal in caliber. GALL BLADDER: Well distended showing sonolucent contents. Normal wall thickness. No focal mass or calculus is seen. No stone is seen in its lumen. PANCREAS: Normal in size, shape & echogenicity. No focal mass or calcification is seen. Pancreatic duct is not dilated. SPLEEN: Normal in size, shape & echogenicity. No focal mass is seen. RIGHT KIDNEY: Axial length 10.1 cm. Cortical thickness 1.3 cm.   Normal in size, shape, position & echogenicity. Smooth in outline. Normal sinus echoes. Cortico-medullary distinction is intact. No focal mass, cyst or calculus is seen. No hydronephrosis or proximal hydroureter noted. LEFT KIDNEY: Axial length 10.0 cm. Cortical thickness 1.4 cm.   Normal in size, shape, position & echogenicity. Smoo...

  Abdomen & Pelvis LIVER: Liver is seen normal in size measuring   13.2 cm in longitudinal dimention. The outer contour is smooth showing homogenous parenchymal echogenicity with regular margins. No focal   solid or cystic mass   is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 1.0 cms. No portal vein thrombosis is seen. GALL BLADDER: Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen.   No pericholecystic fluid is seen. CBD has normal calibre measures 0.3   cms. PANCREAS: It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. The pancreatic duct is not dilated. SPLEEN: Spleen appears normal in size, measures    9.0   cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. No hilar varices are seen. KIDNEYS: Both kidneys are normal in size,...

  Pelvis Fetal Wellbeing (FWB) / Growth Scan CLINICAL INDICATION: Fetal well being ( L.M.P= 02-09-2022… GA = GA 25week + 4 days) Single intrauterine fetus with cephalic presentation and longitudinal. Fetal movement and cardiac activity seen Placenta is fundo-anterior , away from internal OS. Amniotic fluid is adequate AFI = 18.5 cm. BPD = 64.0mm                                   HC = 239.2   mm FL = 49.6 mm.                                     AC = 222.2 mm EFW = 961 grams =/- 144 grams Gestational age according to scan is 26   weeks 2 days. +/_ 2 weeks. E.D.D by scan 04-06-2023 IMPRESSION: • Single alive intraut...

  Pelvis Fetal Wellbeing (FWB) / Growth Scan CLINICAL INDICATION: Fetal well being ( L.M.P= 02-09-2022… GA = GA 25week + 4 days) Single intrauterine fetus with cephalic presentation and longitudinal. Fetal movement and cardiac activity seen Placenta is fundo-anterior , away from internal OS. Amniotic fluid is adequate AFI = 18.5 cm. BPD = 64.0mm                                   HC = 239.2   mm FL = 49.6 mm.                                     AC = 222.2 mm EFW = 961 grams =/- 144 grams Gestational age according to scan is 26   weeks 2 days. +/_ 2 weeks. E.D.D by scan 04-06-2023 IMPRESSION: • Single alive intraut...

  Whole Abdomen LIMITED STUDY DUE TO GASEOUS ABDOMEN LIVER: Liver is normal in size measures 16 cm with raised echogenicity, altered echotexture and regular borders. A round hyperechoic lesion measuring 1.5 cm x 1.2 cm is noted in Segment 4b showing mild vascularity…. most likely hemangioma.. Intrahepatic biliary ducts are not dilated. Portal vein measures 1.0 cms. GALL BLADDER: Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre measures cms. PANCREAS: Partially visualized due to excessive gases….. the visualized part appears unremarkable. SPLEEN: Spleen appears normal in size , measures 10 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. KIDNEYS: Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Mildly raised echogenicity is observed , with intact cort...

  K.U.B KIDNEYS: Both   kidneys are normal in size, shape and position.Normal parenchymal thickness and texture. No calculi or hydronephrosis is seen. Upper ureters are not dilated. Right kidney measures 8.6 cm x 3.2 cm with cortical thcikness 0.7 cm Left    kidney measures   8.9 cm x 3.9 cm with cortical thickness 0.8 cm URINARY BLADDER: Well distended at the time of scan, shows increased wall thickness measures upto 0.4 cm….. could be due to infection. No amss or calculus noted CONCLUSION: • Cystitis+/-…… urine D/R advised • Normal ultrasound scan of both kidneys

  Whole Abdomen LIVER: Liver is enlarged measures 18.4 cm with raised echogenicity, smooth echotexture and regular borders.No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.9 cms. GALL BLADDER: Multiple echogenic foci are noted in the gall baldder largest one measures 0.9 cm. Normal wall thickenss is observed. No pericholecystic fluid noted at the time of scan. CBD normal caliber PANCREAS: It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. The pancreatic duct is not dilated. SPLEEN: Spleen appears normal in size , measures 9.3 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. No hilar varices are seen. KIDNEYS: Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction. . No calculi or hydronephros...

  Upper Abdomen LIVER: Liver is enlarged measures 16.5 cm with raised echogenicity, smooth echotexture and regular borders.No focal mass or cyst is seen. Intrahepatic ducts and veins are not dilated. . Portal vein measures   0.9 cms. GALL BLADDER: Gall bladder is markedly distended shows increased wall thickness upto 0.63 cm. Sludge is noted. An echogenic focus is noted at the neck of G.B measures1.4 cm. No pericholecystic fluid is noted at the time of scan. CBD . normal calibre measures 0.2 cm PANCREAS: It’s normal in shape and size with normal echogenicity. No focal mass, cyst or calcification seen. The pancreatic duct is not dilated. SPLEEN: The size and texture are normal measures   10 cms. The outer surface is smooth. KIDNEYS: Both kidneys are normal in size, shape and position.Normal parenchymal thickness and texture. No calculi or hydronephrosis is seen. Ureter not seen dilated. Right kidney measures    10.1 cm x 3.9 cm w...

  Whole Abdomen LIVER: Liver is seen normal in size measuring 12 cm in longitudinal dimension. The outer contour is smooth showing homogenous parenchymal echogenicity with regular margins. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.2 cms. No portal vein thrombosis is seen. GALL BLADDER: Normally distended gall bladder seen with no thickening of walls. However solitary calculus measuring 2.2 cms is seen. There is suggestion of a mass ?? sludge ball 1.0 x 2.2 cms is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre measures 0.4 cms. PANCREAS: It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. The pancreatic duct is not dilated. SPLEEN: Spleen appears normal in size, measures 11.0 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. No hilar varices are seen. KIDNEYS: Both k...

  K.U.B KIDNEYS: The right kidney is smaller in size but normal shape and position. Right kidney measures 4.7 x 2.7 cms with parenchymal thickness of 0.4 cms. Left kidney is compensated measures 11.4 x 6.4 cms with parenchymal thickness of 1.5 cms. Normal parenchymal thickness and texture. No calculi or hydronephrosis is seen on right side. Ureter not seen dilated. The left kidney shows dilatation of proximal urerter as well as hydronephrosis suggestive of distal ureteric obstruction. URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. CONCLUSION: Hypoplastic right kidney. Compensated lleft kidney with fullness of collecting system at the time of scanning. Advised CT KUB

K.U.B KIDNEYS: Both kidneys are normal in size, shape and position. Right kidney measures 7.4 x 2.8 cms with parenchymal thickness of 0.8 cms. Left kidney measures 6.9 x 3.7 cms with parenchymal thickness of 0.9 cms. Normal parenchymal thickness and texture. No calculi or hydronephrosis is on the right side seen. Ureter not seen dilated. The left kidney shows moderate hydronephrosis due to a large calculus measuring 1.9 cms in proximal left ureter. URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. CONCLUSION: The left kidney shows moderate hydronephrosis due to a large calculus measuring 1.9 cms in proximal left ureter. Clinical correlation advised.

  K.U.B KIDNEYS: Both kidneys are normal in size, shape and position. Right kidney measures 9.5 x 4.0 cms with parenchymal thickness of 1.5 cms. Left kidney measures 10.0 x 5.5 cms with parenchymal thickness of 2.4 cms. Normal parenchymal thickness and texture. No calculi or hydronephrosis is seen on the right side. Ureter not seen dilated. The left renal collecting system show fullness at the time of scanning ?? distal ureteric obstruction. URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. CONCLUSION: The left renal collecting system show fullness at the time of scanning ?? distal ureteric obstruction. Advised CT KUB, if clinicallinically indicated

  Whole Abdomen LIVER: Liver is seen normal in size measuring 12 cm in longitudinal dimension. The outer contour is smooth showing homogenous parenchymal echogenicity with regular margins. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.2 cms. No portal vein thrombosis is seen. GALL BLADDER: Not seen due to previous surgery. CBD has normal calibre measures 0.5 cms. PANCREAS: It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. The pancreatic duct is not dilated. SPLEEN: Spleen appears normal in size , measures 9.8 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. No hilar varices are seen. KIDNEYS: Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction. Renal cortex has normal width throughout ...

  Whole Abdomen LIVER:Liver is seen normal in size measuring 13.6 cm in longitudinal dimension. The outer contour is smooth showing homogenous parenchymal echogenicity with regular margins. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.8 cms. GALL BLADDER:Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre measures 0.18 cms. PANCREAS:It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. SPLEEN:Spleen appears normal in size , measures cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. KIDNEYS:Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction. Right kidney measures 11.5 cm x 4.6 cm...

  Whole Abdomen LIVER:Liver is enlarged measures 16.1 cm with raised echogenicity, smooth echotexture and regular borders. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.8 cms. GALL BLADDER:Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre measures 0.2 cms. PANCREAS:It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. SPLEEN:Spleen appears normal in size , measures 9.6 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. KIDNEYS:Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction.No calculi or hydronephrosis is seen in either kidney. Upper parts of both ureter not seen dilated. R...

  Whole Abdomen LIVER:Liver is enlarged measures 16.1 cm with raised echogenicity, smooth echotexture and regular borders. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.8 cms. GALL BLADDER:Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre measures 0.2 cms. PANCREAS:It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. SPLEEN:Spleen appears normal in size , measures 9.6 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. KIDNEYS:Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction.No calculi or hydronephrosis is seen in either kidney. Upper parts of both ureter not seen dilated. R...

  Whole Abdomen LIVER: Liver is normal in size measures 16 .3 cm with raised echogenicity, smooth echotexture and regular borders.No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 1.0 cms. GALL BLADDER: Two mobile echogenic foci are noted in the lumen largest one measures 1.7 cm. Wall thickness is within normal limits. No pericholicystic fluid noted. CBD measures 0.2 cm PANCREAS: It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. SPLEEN: Spleen appears normal in size , measures 10.4 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. KIDNEYS: Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction.No calculi or hydronephrosis is seen in either kidney. Upper parts of both ureter not seen dilated. R...

  Whole Abdomen LIVER:Liver is seen normal in size measuring 13.8 cm The outer contour is smooth showing homogenous parenchymal echogenicity with regular margins. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.8 cms. GALL BLADDER:Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre measures 0.2 cms. PANCREAS:It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. SPLEEN:Spleen appears normal in size , measures 10.3 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. KIDNEYS:Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction. No calculi or hydronephrosis is seen in either kidney. Upper ...

  Pelvis URINARY BLADDER: Well distended at the time of scan…. few internal echoes are noted in the lumen. Wall thickness is increased measures upto 0.4 cm UTERUS: Uterus is anteverted, measuring 5.8 cm   x 3.6 cm x 3.0 cm Normal myometrial texture and thickness. No focal lesion seen.   Endometrial thickness is normal with linear central cavitary echo meaures 0.8 cm BOTH OVARIES: Both ovaries are normal. Right ovary measures   2.8 cm x 2.3 cm with a well defined anechoic cyst meausring 1.2 cm x 1.0 cm ….. most likely follicle Left ovary measures   2.3 cm x 1.9 cm ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Cystitis+/-…….. urine D/R advised • No other pelvic pathology noted

  Pelvis URINARY BLADDER: Well distended at the time of scan…. few internal echoes are noted in the lumen. Wall thickness is increased measures upto 0.4 cm UTERUS: Uterus is anteverted, measuring 5.8 cm   x 3.6 cm x 3.0 cm Normal myometrial texture and thickness. No focal lesion seen.   Endometrial thickness is normal with linear central cavitary echo meaures 0.8 cm BOTH OVARIES: Both ovaries are normal. Right ovary measures   2.8 cm x 2.3 cm with a well defined anechoic cyst meausring 1.2 cm x 1.0 cm ….. most likely follicle Left ovary measures   2.3 cm x 1.9 cm ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Cystitis+/-…….. urine D/R advised • No other pelvic pathology noted

  Pelvis URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. UTERUS: Uterus is anteverted, measuring Normal myometrial texture and thickness.No focal lesion seen.   Endometrial thickness is normal with linear central cavitary echo meaures 0.7 cm • Streak of fluid noted in cervical canal BOTH OVARIES: Both ovaries are normal. Right ovary measures 2.3 cm x 1.8 cm Left ovary measures   2.7 cm x 2.0 cm with a well defined anechoic cyst measuring 1.4 x 1.3 cm … most likely follicle ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Streak of fluid in cervical canal ……. correlate clinically • No other pelvic pathology seen

  Pelvis URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. UTERUS: Uterus is anteverted, measuring Normal myometrial texture and thickness.No focal lesion seen.   Endometrial thickness is normal with linear central cavitary echo meaures 0.7 cm • Streak of fluid noted in cervical canal BOTH OVARIES: Both ovaries are normal. Right ovary measures 2.3 cm x 1.8 cm Left ovary measures   2.7 cm x 2.0 cm with a well defined anechoic cyst measuring 1.4 x 1.3 cm … most likely follicle ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Streak of fluid in cervical canal ……. correlate clinically • No other pelvic pathology seen

  Pelvis URINARY BLADDER: Well distended at the time of scan. No mass or calculus noted. Wall thickness is mildly increased , measures upto 0.4 cm…. could be infection UTERUS: Uterus is anteverted, measuring 6.3 cm x 3.2 cm x 2.8 cm Normal myometrial texture and thickness. No focal lesion seen.   Endometrial thickness is normal with linear central cavitary echo measures 0.6 cm BOTH OVARIES: Right ovary measures   3.3 cm x 2.1 cm with   volume of 8.5 ml Left ovary measures    3.3 cm x 2.3 cm with volume of 9.0 ml Bilateral thick stroma noted along with multiple tiny immature follicles at the periphery….. however volume of both ovaries is less than 10 ml…… Hormonal assay is advised   for further evaluation ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Cystitis+/-….. urine D/R advised • Polycystic ovaries +/-……. clinical correlation and hormal assay is advised

  Pelvis URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. UTERUS: Uterus appears bulky, anteverted and retroflexed measures 7.4 cm x 5.3 cm x 3.4 cm Normal myometrial texture and thickness. No focal lesion seen.   Endometrial thickness is normal with linear central cavitary echo measures 0.7 cm BOTH OVARIES: Both ovaries are normal. Right ovary measures   2.7 cm x 1.7 cm Left ovary measures   2.8 cm x 1.6 cm ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Bulky uterus • Hormonal assay advised

  Whole Abdomen LIVER: Liver is seen normal in size measuring 11 cm in longitudinal dimension. The outer contour is smooth showing homogenous parenchymal echogenicity with regular margins. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 3 cms. No portal vein thrombosis is seen. GALL BLADDER: Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre measures 0.2 cms. PANCREAS: It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. The pancreatic duct is not dilated. SPLEEN: Spleen appears normal in size , measures 10.0 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. No hilar varices are seen. KIDNEYS: Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. No...

  K.U.B KIDNEYS: Both kidneys are normal in size, shape and position.Normal parenchymal thickness and texture • Right kidney measures    10.0 cm   x3.8 cm with cortical thickness 0.7 cm. Few concretions with minimal fullness is noted. No proximal hydro ureter observed. • Left kidney measures    11.5 cm x 5.2 cm with cortical thinning , ranging from 0.3 cm to 0.5 cm.   Marked hydronephrosis with proximal hydroureter is observed. An echogenic focus measuring 1.4 cm is noted in the dilated ureter approx 6.5 cm   from renal pelvis , ureter beyond it is not seen due to overlying gas shadows.   …..   suggestive of   obstructive ureteric stone. URINARY BLADDER: Well distended at the time of scan. No wall thickness, calculus , mass or sludge noted. Full bladder volume:   160 ml                       ...

  LIVER: Liver is seen normal in size measuring 15.2 cm with slightly raises ehogenicity an daltered echotexture.No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 1.0 cms. GALL BLADDER: Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre measures cms. PANCREAS: It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. SPLEEN: Spleen appears normal in size , measures 9.0 cms. The outer surface is smooth with homogenous echotexture. KIDNEYS: Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction. No calculi or hydronephrosis is seen in either kidney. Upper parts of both ureter not seen dilated. Right kidney measures 12....

  Pelvis URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. UTERUS: Uterus appears bulky, anteverted and retroflexed measures 7.4 cm x 5.3 cm x 3.4 cm Normal myometrial texture and thickness. No focal lesion seen.   Endometrial thickness is normal with linear central cavitary echo measures 0.7 cm BOTH OVARIES: Both ovaries are normal. Right ovary measures   2.7 cm x 1.7 cm Left ovary measures   2.8 cm x 1.6 cm ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Bulky uterus • Hormonal assay advised

  Whole Abdomen LIMITED STUDY DUE TO EXCESSIVE BOWEL GASES LIVER: Liver is seen normal in size measuring 14.2 cm .The outer contour is smooth showing homogenous parenchymal echogenicity with regular margins. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.9 cms. GALL BLADDER:Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre PANCREAS:Partially visulaized due to gases….. the visualized part appears unremarkable. SPLEEN:Spleen appears normal in size , measures 10.5 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. KIDNEYS:Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction. Right kidney measures 10.1 cm x 4.4 cm with cortical thickness ...

  K.U.B. & Pelvis URINARY BLADDER: Well distended urinary bladder . No mass or calculus seen in the lumen. Wall thickness is mildly increased   measures upto 0.4 cm…. could be infection. UTERUS: Uterus is anteverted, bulky measuring 9.7 cm x 5.7 cm x 4.5 cm. No focal lesion noted Endometrial thickness is normal with linear central cavitary echo measures 0.8 cm BOTH OVARIES: Both ovaries are normal. Right ovary measures   2.4 cm x 2.1 cm Left ovary measures    3,6 cm x 2.7 cm with two well defined   anechoic cysts larger one measures 2.0 cm   x 1.7 cm….. most likely follicle ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Bulky uterus • Cystitis+/-…urine D.R advised

  Fetal Wellbeing (FWB) / Growth Scan CLINICAL INDICATION: Fetal well being ( L.M.P 22-03-2023 … GA by dates 24 weeks 3 days) Single alive intrauterine fetus with cephalic presentation and longitudinal. Fetal movement and cardiac activity seen Placenta is posterior , 4.5 cm away from OS (likely to ascend with advancing pregnancy) Amniotic fluid is adequate AFI = 11.5 cm. FHR = 146 bpm                              BPD = 58.7 mm HC = 228.6 mm                               FL = 44.1 mm. AC = 203.9 mm                               EFW = 728 grams...

  Whole Abdomen LIVER:Liver is seen normal in size measures 13.4 cm with raised echogenicity, smooth echotexture and regular borders. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.9 cms. GALL BLADDER:Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre measures 0.2 cms. PANCREAS:It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. The pancreatic duct is not dilated. SPLEEN:Spleen appears normal in size , measures 8.5 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. No hilar varices are seen. KIDNEYS:Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction. No calculi or hydronephrosis i...

  Pelvis URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. UTERUS: Uterus is anteverted, measures 9.2 cm x 4.8 cm x 4.3 cm Normal myometrial texture and thickness.No focal lesion seen. Endometrial thickness is normal with linear central cavitary echo measures 0.6 cm BOTH OVARIES: Right ovary measures   2.5 cm x 1.6 cm Left ovary appears enlarged measures 6.3 cm x 5.7 cm with a well defined anechoic cyst measuring 5.5 cm x 5.0 cm. No internal echoes or septae noted. ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Left ovarian simple cyst……. followup advised

  K.U.B KIDNEYS: • Right kidnney appears normal in size shape and position .It measures   11.2 cm x 3.9 cm with cortical thickness 0.6 cm. An echogenic mobile focus is noted in the renal pelvis measures 0.7 cm. Minimal hydronephrosis seen. No proximal hydroureter noted…. Hydronephrosis perisists post void • Left kidney measures   appeasr normal in size shape an d position. It measures     10.1 cm x 5.5 cm with cortical thickness 0.7 cm. No mass or calculus seen. No hydronephrosis or proximal hydroureter observed.           URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. Full bladder volume:        238 ml                     Post void volume:            Insignificant ...

  e P lvis URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. UTERUS: Uterus is bulky anteverted measuring 8.9 cm x 5.2 cm x 4.0 cm. Atleast 3 non homogenous hypoechoic   to isoechoic foci are noted in the myoemetrium, two at the anterior wall and one at posterior wall.   Largest one measures 2.6 cm x 2.6 cm at the anterior wall. no calcification seen. No significant increase in vascularity noted……. findings are suggestive of fibroids. Endometrium is pushed posteriorly measures 0.7 cm BOTH OVARIES: Both ovaries are normal. Right ovary measures   2.8 cm x 1.8 cm with a prominent follicle measuring 1.3 cm x 1.0 cm Left ovary measures   2.7 cm x 1.1 cm ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Utreine fibroids

  Upper Abdomen LIVER: Liver is borderline enlarged measures 16 .0 cm . Normal parenchymal echogenicity an dechotexture. Margins are regular. No focal mass or cyst is seen. Intrahepatic ducts and veins are not dilated. Portal vein measures   0.8 cms. GALL BLADDER:Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen.   CBD measures   0.25 cm. PANCREAS:It’s normal in shape and size with normal echogenicity. No focal mass, cyst or calcification seen. The pancreatic duct is not dilated. SPLEEN: Spleen is enlarged measures 14 .0 cm KIDNEYS:Both kidneys are normal in size, shape and position.Normal parenchymal thickness and texture. No calculi or hydronephrosis is seen. Ureter not seen dilated. Right kidney measures    10.8 cmx 4.3 cm with cortical thickness 0.9 cm Left    kidney measures   11.1 cm x 4.6 cm with cortical thickness 1.0 cm • No free fluid is seen i...

  Whole Abdomen LIVER: Liver is seen normal in size measures 13.9 cm. The outer contour is smooth showing homogenous parenchymal echogenicity with regular margins. No focal solid or cystic mass is seen. Intrahepatic biliary ducts are not dilated. Portal vein measures 0.8 cms. GALL BLADDER: Normally distended gall bladder seen with no thickening of walls. No calculi, mass or sludge is seen in the lumen. No pericholecystic fluid is seen. CBD has normal calibre PANCREAS: It’s normal in shape and size with normal homogenous echotexture . No focal mass, cyst or calcification seen. The pancreatic duct is not dilated. SPLEEN: Spleen appears normal in size , measures 9.7 cms. The outer surface is smooth with homogenous echotexture. No focal mass is seen. KIDNEYS: Both kidneys are normal in size, shape and position. Outline is smooth and well demarcated. Normal parenchymal texture seen with intact cortico medullary distinction.No calculi or hydronephrosis is ...

  Pelvis URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. UTERUS: Uterus is anteverted, measuring Normal myometrial texture and thickness.No focal lesion seen.   Endometrial thickness is normal with linear central cavitary echo measures 0.6 cm BOTH OVARIES: Right ovary measures    3.0 cmx 2.4 cm x 2.2 cm with a volume of 8.8 ml Left ovary measures      2.9 cm x 2.4 cm x 2.4 cm with a volume of 8.5 ml Stroma appears thick   with multiple subcentimeter follicles . No mature follicle noted at the time of scan. However volume of both ovaries is less than 10 ml. ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Suspected PCO +/-……. volume of ovaries is less than 10 ml…. . Hormonal assay with FSH/LH ratio and clinical correlation is advised for further evaluation.

  Pelvis URINARY BLADDER: Normal urinary bladder. No calculus, mass, urinary bladder wall thickening seen. UTERUS: Uterus is anteverted, measuring 9.2 cm x 5.1 cmx 4.9 cm Normal myometrial texture and thickness.No focal lesion seen.   Endometrium is thick, measures 1.6 cm BOTH OVARIES: Both ovaries are normal. Right ovary measures   3.0 cm x 2.1 cm Left ovary measures    2.7 cm x 2.0 cm ADNEXAE: No adnexal mass or free fluid is seen. CONCLUSION: • Endometrial hyperplasia……… Hormonal assay is advised DR.MALIHA SALEEM RADIOLOGIST