17855760702792248587409616547965.jpg
+2 more
Explain the reports
Reading File
analyse_media
analyse_media
analyse_media
Here is a full explanation of all three reports for B. Sri Krishna Veni, a 22-year-old female, examined on 01 August 2026.
Report 1 - Renal Ultrasound (Image 1)
This is a Samsung FPS29D abdominal ultrasound performed using a C2-5 curved probe at 15 cm depth in Renal preset. It shows 8 ultrasound frames of the kidneys/abdomen.
Key observations from the images:
- No electronic calipers or measurements are printed on these frames - they appear to be orientation/survey images rather than measurement frames
- The kidney echogenicity (brightness pattern) appears within normal range - no obvious bright stones, large cysts, or masses are visible
- The images were captured between 2:03 PM and 2:04 PM
Note: Detailed kidney measurements (size, cortical thickness) would typically be on a separate printed measurement report. These frames serve as visual documentation.
Report 2 - Gynecology Ultrasound Measurements
Patient: B. Sri Krishna Veni | Female | Age: 22 years | Date: 2026-08-01
Uterus
| Measurement | Value | Normal Range |
|---|---|---|
| Length | 6.28 cm | 6-9 cm |
| Height | 2.89 cm | 2-4 cm |
| Width | 2.54 cm | 2-5 cm |
| Volume | 24.14 ml | 18-80 ml |
| Endometrial Thickness | 0.51 cm (5.1 mm) | Varies by cycle phase |
Interpretation: The uterus size and dimensions are within normal limits for a 22-year-old. The endometrial thickness of 5.1 mm is normal - it naturally varies from about 2-4 mm (early menstrual phase) up to 14 mm (late secretory phase), so 5.1 mm is a healthy mid-range value.
Right Ovary
| Measurement | Value |
|---|---|
| Length | 3.18 cm |
| Height | 2.97 cm |
| Width | 2.73 cm |
| Volume | 13.52 ml |
Left Ovary
| Measurement | Value |
|---|---|
| Length | 3.74 cm |
| Height | 3.00 cm |
| Width | 2.46 cm |
| Volume | 14.47 ml |
Interpretation - Ovaries: The normal ovarian volume in a premenopausal woman is generally under 10 ml. Both ovaries are mildly enlarged (13.52 ml right, 14.47 ml left). This mild enlargement can be normal and benign - for example:
- An active developing follicle or a corpus luteum (post-ovulation) can temporarily increase volume
- However, bilateral ovarian enlargement in a young woman can also be a feature of Polycystic Ovary Syndrome (PCOS), especially if the scan also shows multiple small peripheral follicles
The doctor (Dr. B. Kasi Annapurna, OBG) will correlate these findings with symptoms such as irregular periods, acne, or excess hair to determine if further investigation for PCOS is needed.
Report 3 - Complete Blood Count (CBC) - Susrutha Diagnostic Lab
Patient: B.S. Krishna Veni | 22 yrs / Female | Referring Doctor: Dr. B. Kasi Annapurna M.S. (O.B.G.) | Date: 01/08/2026
| Test | Result | Reference Range | Status |
|---|---|---|---|
| Haemoglobin | 11.9 gm/dl | 10.5-14.5 gm/dl | ✅ Normal |
| PCV (Haematocrit) | 36.9% | 40%-50% | ⚠️ Slightly Low |
| Total RBC Count | 4.86 mill/cumm | 4.0-5.0 mill/cumm | ✅ Normal |
| Total WBC Count | 11,000 cells/cumm | 5,000-11,000 cells/cumm | ⚠️ Upper limit |
| Neutrophils | 72% | 40%-70% | ⚠️ Slightly High |
| Lymphocytes | 24% | 20%-40% | ✅ Normal |
| Eosinophils | 03% | 01%-06% | ✅ Normal |
| Monocytes | 01% | 02%-10% | ⚠️ Slightly Low |
| Platelet Count | 2.22 Lakhs/cumm | 1.5-4.0 Lakhs/cumm | ✅ Normal |
| ESR | 20 mm/1hr | 02-10 mm/1hr | ⚠️ Elevated |
Key findings to note:
-
Haemoglobin (11.9 g/dl): Within the lab's reference range, but on the lower side. In many international standards, 12.0 g/dl is the threshold for anaemia in women, so this is borderline mild anaemia.
-
PCV / Haematocrit (36.9%): Slightly below the reference range (40-50%). This is consistent with mild anaemia and means the proportion of red cells in blood is slightly reduced.
-
WBC (11,000) and Neutrophils (72%): Both at the upper edge of normal. This can indicate a mild stress response, early infection, or inflammation - not dramatically abnormal but worth monitoring.
-
ESR (20 mm/hr): This is notably elevated (normal is 2-10 mm/hr for this lab). An elevated ESR is a non-specific marker of inflammation. In young women, common causes include infection, iron deficiency anaemia, menstrual irregularities, or inflammatory conditions. Combined with borderline low Hb and PCV, this is worth discussing with the doctor.
Overall Summary
These three tests together paint a picture for an OBG workup of a 22-year-old woman. The mildly enlarged ovaries on ultrasound, borderline low haemoglobin, and elevated ESR are the main findings that warrant discussion with the gynecologist (Dr. B. Kasi Annapurna). The doctor will likely assess for PCOS, anaemia management, and any signs of pelvic infection or inflammation. These are not alarming findings but should be followed up clinically.
Disclaimer: This explanation is for informational purposes only. Please consult your doctor for a medical interpretation specific to your symptoms and history.
What is final diagnosis
I want to be straightforward with you: a final diagnosis cannot be made from these reports alone, and it would be irresponsible for me to give one. Here is why:
What the Reports Suggest (Not Diagnose)
Most Likely Clinical Picture: Possible PCOS with Mild Anaemia
The combination of findings points in this direction:
| Finding | Significance |
|---|---|
| Both ovaries enlarged (13.5 ml & 14.5 ml) | Suggests possible PCOS or active follicular phase |
| Uterus and endometrium normal | Reassuring |
| Haemoglobin borderline low (11.9 g/dl) | Mild anaemia |
| PCV low (36.9%) | Supports mild anaemia |
| ESR elevated (20 mm/hr) | Inflammation or anaemia-related |
| WBC at upper limit + neutrophilia (72%) | Possible mild infection or stress response |
Why a Final Diagnosis Requires the Doctor
A final diagnosis needs information that is not in these reports:
- Menstrual history - cycle regularity, flow, duration (key for PCOS diagnosis)
- Symptoms - acne, excess hair growth (hirsutism), weight changes, pelvic pain
- Hormone blood tests - LH, FSH, testosterone, AMH (essential for confirming PCOS)
- Ultrasound follicle count - PCOS typically shows 12+ small follicles per ovary (the sonographer's written report is needed, not just images)
- Physical examination findings
- Thyroid function tests (TSH) - thyroid disorders can mimic PCOS
- Blood sugar/insulin levels - often checked alongside PCOS workup
The Rotterdam Criteria for PCOS (requires 2 of 3)
- Irregular or absent periods
- Clinical or biochemical signs of excess androgens (male hormones)
- Polycystic ovaries on ultrasound
From these reports, only criterion 3 is partially suggested - the ovarian volumes are enlarged, but the follicle count was not documented in the images shared.
Bottom Line
These reports are consistent with possible PCOS and mild iron-deficiency anaemia, but the final diagnosis must come from Dr. B. Kasi Annapurna after reviewing the full clinical picture including your symptoms and hormone levels.
Please do not delay the follow-up appointment - the doctor has all the context needed to give you a proper diagnosis and treatment plan.
This is a shared conversation. Sign in to Orris to start your own chat.