Interpret
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Here is a full interpretation of this ultrasound report for Mrs. Raj Kumari, 25F, dated 24/04/2026 from Yash Diagnostic Centre, Bareilly.
USG Whole Abdomen — Interpretation
Normal Findings
| Organ | Finding | Significance |
|---|---|---|
| Liver | Normal size, uniform echotexture, no focal lesion, IHBR (intrahepatic bile radicles) not dilated | No hepatitis, cirrhosis, mass, or bile duct obstruction within the liver |
| CBD & Portal vein | Appear normal | No choledocholithiasis (no common bile duct stone), no portal hypertension |
| Spleen | Normal size, shape, echogenicity | No splenomegaly or infarct |
| Pancreas | Normal size and echotexture, no focal lesions, no peripancreatic fat edema or fluid | No pancreatitis or pancreatic mass |
| Both kidneys | Normal size, shape, position, axis, echogenicity; perirenal spaces normal | No hydronephrosis, no renal stones, no masses |
| Urinary bladder | Well distended, normal lumen wall thickness, no calculus or growth | No bladder stones or tumors |
| Aorta, IVC, para-aortic regions | Normal | No lymphadenopathy, no vascular abnormality |
| B/L Ovaries | Normal | No ovarian cysts or masses |
| POD (Pouch of Douglas) | Clear | No free fluid in the pelvis |
Abnormal / Significant Findings
1. Gallbladder — Features suggestive of Cholecystitis
- Distended gallbladder with wall edema (wall edematous)
- Normal lumen, no pericholecystic fluid
What this means: A distended gallbladder with a thickened, edematous wall is a classic ultrasound sign of cholecystitis (inflammation of the gallbladder). The absence of pericholecystic fluid suggests this is likely an early or mild form rather than severe/complicated acute cholecystitis.
The report does not mention gallstones (cholelithiasis), so this could represent acalculous cholecystitis (cholecystitis without stones) — which can occur due to bile stasis, infection, or poor emptying.
Key ultrasound criteria for cholecystitis (from Tintinalli's Emergency Medicine):
- Gallbladder wall thickening >3mm
- Pericholecystic fluid (absent here — favourable sign)
- Sonographic Murphy's sign
- Gallstones (not reported here)
2. Uterus — Chronic Cervicitis
- Size: 6.4 × 4.35 × 2.05 cm — normal
- Position: Anteverted (normal orientation)
- Cervix: Hypertrophic (enlarged/thickened cervix) containing multiple Nabothian cysts, 11–15 mm
- Endometrial thickness (ET): Described as "thick" — this needs clinical correlation as the exact measurement isn't specified beyond "thick"
What this means:
- Nabothian cysts are mucus-retention cysts of the cervix, formed when the squamocolumnar junction's columnar cells are covered by squamous epithelium. They are benign and very common, but multiple large Nabothian cysts (11–15 mm) with cervical hypertrophy are characteristic of chronic cervicitis (long-standing inflammation of the cervix).
- This is a very common finding in women of reproductive age, especially those who have had infections, prior deliveries, or persistent cervical inflammation.
- The thick endometrium noted should be correlated with the menstrual cycle phase — it is normal in the secretory phase (post-ovulation) but warrants follow-up if outside normal range.
Impressions (as reported)
| Diagnosis | Explanation |
|---|---|
| Features s/o Cholecystitis | Gallbladder wall edema + distension — likely inflammatory/acalculous |
| Chronic Cervicitis | Multiple large Nabothian cysts in a hypertrophic cervix |
What Should Be Done Next (Clinical Correlation Advised)
-
For Cholecystitis:
- Blood tests: CBC (white cell count), LFTs (liver function tests), CRP
- If symptomatic (right upper quadrant pain, nausea, fever) → surgical/gastroenterology consultation
- Check for gallstones with a repeat or better-quality ultrasound
- Treatment may include antibiotics, dietary fat restriction, and possible cholecystectomy if recurrent
-
For Chronic Cervicitis / Nabothian Cysts:
- Gynaecological examination with Pap smear (cervical cytology) to rule out dysplasia or infection
- Swabs for infections (e.g., chlamydia, bacterial vaginosis) if symptomatic
- Large symptomatic Nabothian cysts can be treated with electrocautery or cryotherapy if needed
- Monitor endometrial thickness in relation to menstrual cycle
Important: This interpretation is for educational purposes. Please consult the treating doctor for diagnosis and management decisions, as clinical history and examination are essential alongside imaging findings.
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