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What could be the posible disease is it PCOS
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Based on the ultrasound report, this is NOT PCOS. The radiologist's impression is clear and specific. Here is a full breakdown:
Ultrasound Report Summary - Urmila Khatun, 22 yrs, Female
Official Radiologist Impression:
"Bulky right ovary with two cyst formations with torsion, with minimal pelvic ascites as described."
What This Report Actually Shows
Key Findings:
| Structure | Finding |
|---|---|
| Liver | Normal |
| Gall Bladder | Normal |
| CBD | 5.7 mm - Normal |
| Pancreas | Normal |
| Spleen | Normal |
| Kidneys | Normal (RK: 110 mm, LK: 94 mm) |
| Urinary Bladder | Normal |
| Uterus | Normal size (49 x 34 mm), endometrium 10.7 mm - Normal |
| Right Ovary | Bulky - 73 x 35 mm - with TWO cysts (51mm and 19mm) + TWISTED PEDICLE (22 x 19 mm) |
| Left Ovary | Normal - 29 x 17 mm |
| Pelvis | Small amount of free fluid (ascites) |
Why This is NOT PCOS
PCOS (Polycystic Ovarian Syndrome) typically shows:
- Multiple small follicles (12 or more, each 2-9 mm) arranged peripherally ("string of pearls")
- Both ovaries enlarged
- No torsion, no large cysts
- Ovarian volume typically >10 mL
This scan shows something different and more urgent.
What This IS: Ovarian Torsion with Ovarian Cysts
The ultrasound shows:
- A bulky right ovary (73 x 35 mm - much larger than normal)
- Two cysts inside the right ovary (one measuring 51 mm - quite large)
- A twisted vascular pedicle (labeled "TWISTED PART" in the scan images, measuring 22 x 19 mm) - this is the hallmark of ovarian torsion
- Minimal pelvic fluid (free fluid from the compromised ovary)
What is Ovarian Torsion?
Ovarian torsion occurs when the ovary (and sometimes the fallopian tube) twists around its supporting ligaments, cutting off its blood supply. The large cyst likely caused the ovary to become heavy enough to rotate.
⚠️ URGENT - This is a Surgical Emergency
Ovarian torsion is a time-sensitive emergency. If blood supply is cut off for too long, the ovary can become necrotic (die). Standard treatment is:
- Emergency laparoscopic surgery - to untwist (detorse) the ovary
- If the cyst is large, the cyst may be removed (cystectomy) while preserving the ovary
- If the ovary is already non-viable, oophorectomy (removal) may be required
Typical symptoms that likely prompted this scan:
- Sudden, severe one-sided pelvic pain
- Nausea and vomiting
- Tenderness in the right lower abdomen
Important Disclaimer: This analysis is based on the ultrasound images and report provided. Only the treating doctor who has examined the patient can make a final diagnosis and treatment decision. If there is severe pelvic pain, please seek emergency medical care immediately - do not delay.
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