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Ultrasound Report Explained - Abhiruchi, 35F
What the Report Says (Plain Language)
This is a whole abdomen ultrasound (sonography) done on 14/07/2026. The scan looked at all the major abdominal organs plus the pelvic organs.
Good News: Everything Else is Normal
All of the following organs were found to be completely normal:
| Organ | Finding |
|---|---|
| Liver | Normal size (12.5 cm), no masses, bile channels clear |
| Gall Bladder | Normal, no stones |
| Spleen | Normal |
| Pancreas | Normal |
| Both Kidneys | Normal - no stones, no cysts, no tumors |
| Urinary Bladder | Normal |
| Both Ovaries | Normal |
| Pouch of Douglas | No fluid collection |
There is a minor note of gaseous distension of bowel loops - meaning there is some gas in the intestines, which is a common, usually harmless finding.
The Main Finding: Uterine Fibroid (Leiomyoma)
The report found one small fibroid in the uterus:
- What it is: A well-defined, nearly round, hypoechoic (darker on ultrasound) lesion
- Size: 14 x 11 mm (roughly 1.4 cm x 1.1 cm) - this is small
- Location: Fundal region (the top part of the uterus)
- Type: Subserosal leiomyoma - meaning it grows on the outer wall of the uterus, projecting outward
FIGO Type 6/7 - What Does That Mean?
The FIGO (International Federation of Gynecology and Obstetrics) classification is a standardized system for categorizing fibroids by location:
| FIGO Type | Description |
|---|---|
| 0 | Pedunculated - completely inside the uterine cavity |
| 1 | <50% within the uterine muscle wall (mostly inside) |
| 2 | ≥50% within the muscle wall |
| 3 | Touches the inner lining, no cavity component |
| 4 | Entirely within the uterine muscle wall |
| 5 | Subserosal - at least 50% within the muscle |
| 6 | Subserosal - less than 50% within the muscle (mostly outside) |
| 7 | Subserosal - attached to the outer surface by a stalk (pedunculated) |
| 8 | Completely outside - cervical, ligament, or "parasitic" |
Type 6/7 means the radiologist is uncertain whether the fibroid is mostly hanging outside the uterus (Type 6) or attached by a narrow stalk (Type 7). In either case, it is largely or entirely on the outside of the uterine wall - this is important because:
- It does not distort the uterine cavity
- It is less likely to cause heavy periods than submucosal (Types 0-2) fibroids
- It is the most favorable type in terms of symptom burden
Endometrial Thickness
- 6.2 mm - this is normal for a premenopausal woman. The endometrial cavity is empty (no polyp, no abnormal thickening).
(Source: Berek & Novak's Gynecology, Fibroid Location chapter)
What is a Uterine Fibroid?
Uterine fibroids (leiomyomas) are benign (non-cancerous) smooth muscle tumors of the uterus. They are extremely common - affecting up to 70-80% of women by age 50. They are NOT cancer, and the risk of a fibroid transforming into a cancer (leiomyosarcoma) is very rare - approximately 1 in 1,429 to 1 in 1,960 cases.
What Happens Next? (Management)
Since this fibroid is small (14 x 11 mm), subserosal (Type 6/7), and located on the outer wall, the management depends entirely on whether you have symptoms.
If You Have No Symptoms (Asymptomatic):
- Watchful waiting / observation is appropriate
- Regular ultrasound monitoring (typically every 6-12 months) to check if it is growing
- No treatment is required for a small, asymptomatic subserosal fibroid
If You Have Symptoms (Heavy periods, pelvic pain, pressure):
Medical options:
- Tranexamic acid - reduces heavy menstrual bleeding (1.3 g, 3x daily during periods)
- NSAIDs (e.g., mefenamic acid, naproxen) - for pain and reducing blood flow
- GnRH agonists (e.g., leuprolide) - shrink fibroids by up to 30-35% within 6 months, but effects are temporary; symptoms return after stopping
- GnRH antagonists (e.g., elagolix, relugolix) combined with low-dose estrogen/progesterone - newer options that reduce bleeding and preserve bone density
- Anti-progesterone agents (mifepristone, ulipristal acetate) - reduce fibroid size and symptoms
Surgical options (if medication fails or fertility is a concern):
- Laparoscopic myomectomy - keyhole surgery to remove the fibroid while preserving the uterus; preferred for a subserosal/pedunculated fibroid like this one
- Hysterectomy - definitive treatment, only if family is complete and symptoms are severe
(Source: Berek & Novak's Gynecology, p.515-516; Goldman-Cecil Medicine, Treatment chapter)
Key Takeaways for Abhiruchi
- The fibroid is small and on the outside of the uterus - this is the best-case scenario for a fibroid finding
- All other organs are completely normal - nothing alarming
- No treatment may be needed if there are no symptoms
- The next step is to see a gynecologist for a clinical consultation, as the report advises ("clinical correlation / further evaluation")
- If planning a pregnancy in the future, inform the gynecologist - subserosal fibroids generally do not affect fertility significantly, but monitoring is advised
Important: This explanation is for educational purposes only. Please follow up with the referring doctor (Dr. K.M. Choudhary) or a gynecologist for personalized medical advice based on your symptoms and full clinical history.
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