Interpret
Checking Date & Time
Reading File
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Here is a structured interpretation of this Ultrasound Whole Abdomen report for Rajkumari, 29F, dated 30-04-2026, from V-Care Diagnostic & Imaging Centre:
Report Summary
✅ Normal Findings
| Organ | Finding |
|---|---|
| Gall Bladder | Well distended, normal wall, no stones, no sludge, Murphy sign negative |
| Common Bile Duct | Normal caliber |
| Pancreas | Normal size, echotexture; duct not dilated |
| Spleen | Normal size, shape, no focal lesion |
| Right Kidney | Normal location, size, shape; no calculus, no hydronephrosis |
| Left Kidney | Normal location, size, shape; no calculus, no hydronephrosis |
| Urinary Bladder | Well distended, smooth walls, no calculus or mass |
| Ovaries | Normal size and echopattern bilaterally |
| Adnexa | Clear bilaterally; no adnexal mass |
| Peritoneal cavity / Cul-de-sac | No free fluid |
| Lymph nodes | No significant mesenteric/retroperitoneal lymphadenopathy |
| Bowel loops | Grossly normal |
⚠️ Abnormal Findings (Explained)
1. Mild Hepatomegaly — Liver size 16.57 cm
- Normal liver span on ultrasound is generally ≤15 cm in adults. A size of 16.57 cm is mildly enlarged.
- Crucially, the echotexture is normal — margins smooth, no focal lesion, portal vein patent. This means the enlargement is unlikely due to cirrhosis, malignancy, or infiltration at this point.
- Common causes in a 29-year-old woman include: fatty liver (NAFLD), viral hepatitis (subclinical), right heart congestion (less likely at this age), or simply constitutional variation.
- Next step: Liver function tests (LFTs), hepatitis B/C serology, fasting lipid profile/blood sugar to screen for metabolic causes.
2. Mild Bulky Uterus
- Uterus measures 8.24 × 5.14 × 4.30 cm, anteverted position.
- Normal uterine dimensions in a nulliparous woman are approximately 7–8 × 4–5 × 4 cm. This is mildly at the upper limit.
- Myometrial echotexture is normal — no features of fibroids or adenomyosis described.
- Endometrial echo is midline, smooth, ~7 mm thick — appropriate for secretory/mid-cycle phase in a 29-year-old.
3. Chronic Cervicitis with Nabothian Cysts (up to 9 mm)
- Cervix is bulky at 37 mm with altered echotexture and hypertrophied cervical lips.
- Nabothian cysts are retention cysts of cervical mucous glands — a hallmark of chronic cervicitis. They are benign but indicate longstanding cervical inflammation.
- Clinical significance: Chronic cervicitis can cause vaginal discharge, dyspareunia, post-coital bleeding, or lower abdominal discomfort.
- Next step: Gynecological examination, cervical swabs for infection (bacterial vaginosis, chlamydia, gonorrhea), and a Pap smear (cervical cytology) to rule out dysplasia or HPV-related changes.
Radiologist's Impression (Verbatim)
Mild hepatomegaly. Mild bulky uterus with chronic cervicitis.
Recommended Clinical Correlation
| Finding | Suggested Workup |
|---|---|
| Hepatomegaly | LFTs, HBsAg, Anti-HCV, fasting glucose, lipid profile, CBC |
| Bulky uterus | Repeat USG if symptomatic; rule out adenomyosis/fibroids on follow-up |
| Chronic cervicitis + nabothian cysts | Pap smear, cervical swabs, pelvic examination |
Important note: This report should be correlated with the patient's symptoms, menstrual history, and clinical examination findings by her treating physician. The nabothian cysts and cervicitis, while benign in isolation, warrant gynecological follow-up — especially the recommendation for a Pap smear given her age.
This is a shared conversation. Sign in to Orris to start your own chat.