OB-GYN (Obstetrician-Gynecologist) | Gynecology Questions OB-GYN

What do the results mean from my CT scan?

I had a CT scan done showing a 2.3cm ovarian cyst and a globular uterus the next day a transvaginal and transabdominal ultrasound done here were the findings: uterus measures 9.0x4.9x6.5cm.
Endometrium measures 19.5mm. Apparently slightly heterogeneous focal endometrial thickening with some cystic foci over the posterior upper uterine body/fundus. Right adnexa right over measures 3.3x2.8x3.1cm a 3.7cm simple cystic structure over the right ovary. Left adnexa ovary measures 3.3x2.8x2.2 a 2.4x1.6x1.7cm left adnexal cystic structure with minimal internal echo's or artifact adjacent to the parenchyma of the left ovary. Fluid trace free in the pelvis likely physiologic.

My question is what does all that mean?

Female | 29 years old

3 Answers

Repeat US in 1 month after period.
2.3 cm ovarian cyst is likely either normal or benign. At your age, an ultrasound can be done in 4.5 months. Endometrium is too thick regardless of age. Go see your OB/GYN. Findings in the uterus could be adenomyosis. A lot going on, but statistically, it's likely benign. Again, go see your gynecologist asap.
A radiology report is designed for the referring physician to view in context of your entire medical history in order to give them key information for any treatment/therapy planning or lifestyle modification. In general, these are not meant to be interpreted by non-physicians, as they tend to consult with Dr. Google and arrive at erroneous conclusions. This report is best discussed with the primary care physician that ordered it in the first place so they can best answer your question.

However, in brief, you have a small right ovarian cyst which is very common. It will be up to the referring to decide how to best monitor this.

The endometrium (a portion of the uterus which normally changes with your cycle) is most likely in a phase just prior to your cycle. This needs to be confirmed and perhaps monitored in another six weeks.

The structure in the left adnexa (near the left ovary) is indeterminant. It will be up to the referring to decide how to best monitor this.

A small amount of free fluid in the pelvis is normal for menstruating females.

Probably not the definitive answers that you are looking for, but again, radiology findings are a piece of the whole puzzle. The referring needs to assemble them. I recommend talking to them about this report at your earliest convenience. Best of luck.