Interpret
Checking Date & Time
Reading File
Finding Sources
Finding Sources
Here is a plain-language interpretation of this ultrasound (USG Whole Abdomen) report for Mrs. Raj Kumari, 25F, dated 24/04/2026.
Normal Findings (Nothing Concerning)
| Organ | Finding |
|---|---|
| Liver | Normal size, uniform texture, no masses or cysts. Bile ducts not dilated. |
| CBD & Portal Vein | Normal — no obstruction or dilation. |
| Spleen | Normal size, shape, and echogenicity. |
| Pancreas | Normal — no masses, no pancreatitis, no fluid. |
| Both Kidneys | Normal in size, shape, position, and texture. Perirenal spaces clear. |
| Urinary Bladder | Well-distended, normal wall thickness. No stones or growths. |
| Aorta, IVC, Para-aortic nodes | Normal. |
Abnormal / Notable Findings
1. 🔴 Gallbladder — Features Suggestive of Cholecystitis
- The gallbladder is distended with a thickened, edematous (swollen) wall.
- No pericholecystic (surrounding) fluid — a reassuring sign (no perforation or abscess).
- What this means: Gallbladder wall edema + distension on ultrasound are classic signs of cholecystitis (inflammation of the gallbladder). This can be acute or early chronic. It is commonly caused by gallstones (though none are explicitly mentioned here) or acalculous cholecystitis.
- Symptoms to expect: Right upper abdominal pain (especially after fatty meals), nausea, sometimes fever.
2. 🟡 Uterus & Cervix — Chronic Cervicitis
- Uterus is normal in size (6.4 × 4.35 × 2.05 cm) but shows cervical hypertrophy (enlarged cervix).
- Multiple Nabothian cysts (11–15 mm) are seen on the cervix — these are retention cysts of mucus glands in the cervix, a hallmark of chronic cervicitis (long-standing cervical inflammation).
- Endometrial thickness (ET) = thick — this should be evaluated in clinical context (normal thickness varies by cycle phase). At 25 years, this warrants correlation with menstrual history.
- Bilateral ovaries: normal.
- POD (Pouch of Douglas): clear — no free fluid, no sign of pelvic infection spread.
- What this means: Chronic cervicitis is a common, usually benign condition often caused by infections (bacterial vaginosis, STIs), hormonal changes, or prior trauma. Nabothian cysts themselves are benign but their size (up to 15 mm) and the cervical hypertrophy suggest ongoing or past inflammation.
Summary of Impressions (as reported)
| Impression | Clinical Significance |
|---|---|
| Cholecystitis | Gallbladder inflammation — needs clinical correlation (pain, fever, CBC, LFTs) |
| Chronic Cervicitis | Cervical inflammation with nabothian cysts — needs gynecological follow-up |
What Should Be Done Next
-
For Cholecystitis:
- Clinical correlation: Is she having right upper quadrant pain, fever, nausea?
- Blood tests: CBC (WBC count), LFTs, CRP/ESR
- If symptomatic: surgical consult (may need cholecystectomy if gallstones found)
-
For Chronic Cervicitis / Thick ET:
- Gynecological exam and Pap smear
- Vaginal swab for infection (if not already done)
- Menstrual history review (to interpret ET thickness)
- Treatment may include antibiotics or topical agents depending on cause
⚠️ Disclaimer: This is an educational interpretation only. The report itself says "Not Valid for Medico-Legal Purpose." Please consult the treating physician (Dr. Madhu Lata Gangwar or your own doctor) for diagnosis and management decisions.
This is a shared conversation. Sign in to Orris to start your own chat.