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Re: no subject received Tue, 3 Mar 2009 01:09:11 -0600 (u/s report)From: chetna jain (jainchetna@gmail.com)Tue Mar 24 08:42:37 2009
--000e0cd30470ef026c0465de6335 Content-Type: text/plain; charset=ISO-8859-1 Content-Transfer-Encoding: 7bit what ever imaging modalities are used there is no substitute for an endometrial biopsy,preferrably hysteroscopy guided On Tue, Mar 24, 2009 at 2:14 AM, <Den0481@aol.com> wrote:
> I thought I'd give you a follow-up --000e0cd30470ef026c0465de6335 Content-Type: text/html; charset=ISO-8859-1 Content-Transfer-Encoding: quoted-printable what ever imaging modalities are used there is no substitute for an endometrial biopsy,preferrably hysteroscopy guided<br><br> <div class="gmail_quote">On Tue, Mar 24, 2009 at 2:14 AM, <span dir="ltr"><<a href="mailto:Den0481@aol.com">Den0481@aol.com</a>></span> wrote:<br> <blockquote class="gmail_quote" style="PADDING-LEFT: 1ex; MARGIN: 0px 0px 0px 0.8ex; BORDER-LEFT: #ccc 1px solid"> <div style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Arial"><font face="Arial" color="#000000" size="2"> <div><font color="#ff0000">I thought I'd give you a follow-up</font></div> <div><font color="#ff0000">The doctor says the only choice is a hysterectomy because the mass is on the wall of the uterus (outside the uterus) & they can't tell what it is without removing it.</font></div> <div> <div></div> <div class="h5"> <div><font color="#ff0000"></font> </div> <div> </div> <div> <div>In a message dated 3/3/2009 11:35:01 A.M. Eastern Daylight Time, <a href="mailto:lyons@cc.umanitoba.ca" target="_blank">lyons@cc.umanitoba.ca</a> writes:</div> <blockquote style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: blue 2px solid"><font style="BACKGROUND-COLOR: transparent" face="Arial" color="#000000" size="2">I have seen several cases of this. There is an echogenic area in the<br> subendometrial area. You will see nothing on SIS or hysteroscopy. It is<br>likely fat or hydropic change but unlikely malignant or significant in OUR<br>cases. I would need to see your images to be certain.<br><br><br>Ted<br> <br>Dr E.A. Lyons O.C. FRCP(C), FACR<br>Prof of Radiology, Obstet & Gyn and Anatomy<br><br>-----Original Message-----<br>From: <a href="mailto:ultrasound@obgyn.net" target="_blank">ultrasound@obgyn.net</a> [mailto:<a href="mailto:ultrasound@obgyn.net" target="_blank">ultrasound@obgyn.net</a>] On Behalf Of gypsy<br> Sent: Tuesday, March 03, 2009 8:52 AM<br>To: Multiple recipients of list ULTRASOUND<br>Subject: Re: no subject received Tue, 3 Mar 2009 01:09:11 -0600 (u/s report)<br><br>At Tue, 3 Mar 2009, Anthony E. Swartz wrote:<br><br> --0016e64755a43323d6046436ed00<br>Content-Type: text/plain; charset=ISO-8859-1<br>Content-Transfer-Encoding: 7bit<br><br>Probably a submucosal fibroid or less likely an endometrial polyp.<br><br>aes<br><br>Thank you, she was told to have a hysterectomy (age 62) because her<br> doctor said,<br>"we don't know what it is".<br><br>Original U/S showed ....<br>Uterus: anteverted, enlarged with myomas as noted below.<br>Sie: logitudinal 76 mm, anterio-posterior 61mm, transverse 77 mm<br> Estimated uterine weight 185 grams<br>cervical length 28 mm<br>Myometrium:<br>Fibroids:<br>1. size 24 mm, intramural, right lateral wall<br>2. size 63 mm, subserous posterior<br>Endometrium; appears ill-defined, echogenic, & thickened. Thickness<br> 20.1 mm<br>Left ovary: size 27 mm x 14 mm<br>Right ovary: size 31 mm x 11 mm<br>Method: transvaginal ultrasound, color Doppler, 2D, 3D<br>Report Summary:<br>Overall impression: endometrium is distorted, echogenic, thickened: an<br> intracavity echogenic mass is likely<br><br>On Tue, Mar 3, 2009 at 2:10 AM, gypsy <<a href="mailto:Den0481@aol.com" target="_blank">Den0481@aol.com</a>> wrote:<br><br>As a home health nurse, I had a patient yesterday show me her ultrasound<br> report & ask me to explain it to her, as she didn't understand what her<br>doctor had told her.<br><br>I had no idea what that report meant.<br><br>She has had had fibroids for years & has them checked yearly by U/S.<br> This year they were concerned about the endrometrium being thickened.<br>Biopsy was performed & was negative. A saline ultrasound was performed<br>which showed no thickened endrometrium, no intracavitary mass. But, did<br> show "the echogenic area of irregular shape, thought to be intracavitary<br>on prior scan is actually located in the left anterior wall. This area<br>shows irregular texture, is well demarcated from surrounding uterine<br> tissue, but is of<br>irregular shape and contour."<br>large posterior myome again noted<br>small, right, anterior myome noted<br><br>Can you help me explain these results to her?<br>her physician is currently out of town)<br> >><br>>--<br>>Anthony E. Swartz, B.S., RT(R), RDMS<br>>Practice Supervisor, Maternal-Fetal Medicine<br>>WakeMed Health & Hospitals<br>>Raleigh, North Carolina<br>>919-622-7412<br>><a href="http://www.wakemed.org/" target="_blank">http://www.wakemed.org</a><br> ><a href="http://www.sonoaes.net/" target="_blank">http://www.sonoaes.net</a><br>><br>>--0016e64755a43323d6046436ed00<br>>Content-Type: text/html; charset=ISO-8859-1<br>>Content-Transfer-Encoding: quoted-printable<br> ><br>><div>Probably a submucosal fibroid or less likely an endometrial<br>polyp.</div><br>><div> </div><br>><div>aes<br><br></div><br>><div class="gmail_quote">On Tue, Mar 3, 2009 at 2:10 AM, gypsy <span<br> dir="ltr"><<a title="mailto:Den0481@aol.com" href="mailto:Den0481@aol.com" target="_blank">Den0481@aol.com</a>></span><br>wrote:<br><br>><blockquote class="gmail_quote" style="PADDING-LEFT: 1ex; MARGIN: 0px 0px<br> 0px 0.8ex; BORDER-LEFT: #ccc 1px solid">As a home health nurse, I had a<br>patient yesterday show me her ultrasound<br>report & ask me to explain it to<br>her, as she didn't understand what her<br><br>>doctor had told her.<br> <br>I had no idea what that report<br>meant.<br><br>She has had had fibroids for years & has them checked yearly<br>by U/S.<br>This year they were concerned about the endrometrium being<br>thickened.<br><br>>Biopsy was performed & was negative. A saline ultrasound was<br> performed<br>which showed no thickened endrometrium. But, did showed "the<br>echogenic<br>area of irregular shape, thought to be intracavitary on prior<br>scan is<br><br>>actually located in the left anterior wall. This area shows<br> irregular<br>texture, is well demarcated from surrounding uterine tissue,<br>but is<br>irregular shape and contour."<br><br>Can you help me explain these<br>results to her?<br><br>> (her physician is currently out of town)<br> </blockquote></div><br>clear="all"><br>-- <br>Anthony E. Swartz, B.S., RT(R), RDMS<br>Practice<br>Supervisor, Maternal-Fetal Medicine<br>WakeMed Health &<br>Hospitals<br>Raleigh, North Carolina<br> <br>>919-622-7412<br><a title="http://www.wakemed.org/" href="http://http://www.wakemed.org/" target="_blank">http://www.wakemed.org</a><br>href="<a href="http://www.sonoaes.net/" target="_blank">http://www.sonoaes.net</a>"><a href="http://www.sonoaes.net/" target="_blank">www.sonoaes.net</a><br> <br>><br>>--0016e64755a43323d6046436ed00--<br>><br><br></font></blockquote></div></div></div></font> <div> <div></div> <div class="h5"><br><font style="FONT: 10pt arial,san-serif; COLOR: black"> <hr style="MARGIN-TOP: 10px"> Feeling the pinch at the grocery store? <a href="http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001" target="_blank">Make dinner for $10 or less</a>.</font></div></div></div></blockquote></div><br> --000e0cd30470ef026c0465de6335--
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