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What meaning in this report

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Here is a full plain-language explanation of your ultrasound report:

Your Ultrasound Report - Explained

Urinary Bladder - NORMAL

The bladder looks normal in size, shape, and wall thickness. There is only a tiny amount of urine left after urinating ("insignificant residual urine"), which is completely normal.

Uterus - BULKY (enlarged)

  • The uterus measures 9.03 cm x 5.35 cm x 5.12 cm, which is larger than the typical size (normal is roughly 7-8 cm long).
  • "Bulky uterus" simply means the uterus is enlarged. This can happen due to conditions like adenomyosis (when the uterine lining grows into the muscle wall), fibroids, or hormonal changes.
  • The texture (echopattern) is uniform and normal - no suspicious lumps or masses were seen.
  • The uterine cavity is empty (no pregnancy, no polyps seen inside).
  • The cervix is normal.

Ovaries - NORMAL

Both ovaries are normal in size and texture. No cysts or masses were found.

Pouch of Douglas - CLEAR

This is the space behind the uterus. "Clear" means there is no abnormal fluid collection there, which is a good sign (fluid here can indicate infection, ruptured cyst, or endometriosis).

Dilated & Thickened Intestinal Coils in the Lower Abdomen

The loops of bowel (intestines) in the lower belly appear swollen and their walls appear thickened. This is an abnormal finding and is the likely reason the doctor ordered this scan - it points toward bowel inflammation.

IMPRESSION (Doctor's Summary/Diagnosis)

#FindingWhat it Means
1Hepatomegaly with Grade I Fatty InfiltrationThe liver is enlarged and has early-stage fat deposits inside it (Grade I is the mildest level, out of I-III). This is also called non-alcoholic fatty liver disease (NAFLD) or fatty liver. Common causes include obesity, diabetes, high cholesterol, or alcohol use. It is manageable with lifestyle changes at this early stage.
2Bulky UterusThe uterus is enlarged. Needs follow-up with a gynecologist to find the exact cause (adenomyosis, fibroids, etc.).
3ColitisInflammation of the large intestine (colon). This explains the thickened bowel walls seen on scan. Symptoms can include abdominal pain, diarrhea, or cramping. The cause needs further investigation (infection, inflammatory bowel disease, etc.).

What Should You Do Next?

  • See your doctor - this report says "clinical correlation and correlations with other investigations are advised," meaning the ultrasound findings must be matched with your symptoms and blood tests.
  • For the fatty liver: blood tests (liver function tests, lipid profile, blood sugar) are typically ordered next.
  • For the bulky uterus: a gynecologist consultation is recommended.
  • For colitis: stool tests, colonoscopy, or further blood work may be needed depending on your symptoms.
Important: This is a radiologist's report, not a final diagnosis. Your treating doctor will interpret these findings in context with your symptoms and other test results. Please consult your physician before drawing conclusions.
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