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What Does My MRI Scan Test Report Indicate?
Question: Please find below my MRI results, I would like advice on how to proceed? I am black, Age 27, female and very much want children
0000 31/05/2015 MRI Pelvis Gynaecological
Grossly enlarged uterus measuring 15.4 X 15.1 X 10.1 cm
The largest posterior intramural fibroid measuring 10.5 X 7.1 cm with central T2
high signals areas that may suggest degeneration with some foci of restricted
diffusion . anterior to this is a tiny intramural 2.2cm fibroid.
Endometrial cavity is compressed and anteriorly displaced, maximum endometrial
thickness is 2.8 mm.
3.3 X 2.5 cm subserosal fibroid in the left anterior lateral wall.
6 X 1.7 cm well-defined low T2 signal intensity lesion noted in the left adnexa
surrounded by multiple follicles could possibly be a pedunculated posterior
subserosal/broad ligament fibroid There is moderate left-sided haematosalpinx.
right ovary measures 3.5 X 3.8 X 2.6 mm with a dominant follicle of 2.2 cm.
junction and cervical zone anatomy is preserved.
No free pelvic fluid. No significant iliac chain lymph nodes. No abnormal bone or
soft tissue signals.
Note is made of small torlov cysts S2 and S3 level.
Urinary bladder appears unremarkable.
0000 31/05/2015 MRI Pelvis Gynaecological
Grossly enlarged uterus measuring 15.4 X 15.1 X 10.1 cm
The largest posterior intramural fibroid measuring 10.5 X 7.1 cm with central T2
high signals areas that may suggest degeneration with some foci of restricted
diffusion . anterior to this is a tiny intramural 2.2cm fibroid.
Endometrial cavity is compressed and anteriorly displaced, maximum endometrial
thickness is 2.8 mm.
3.3 X 2.5 cm subserosal fibroid in the left anterior lateral wall.
6 X 1.7 cm well-defined low T2 signal intensity lesion noted in the left adnexa
surrounded by multiple follicles could possibly be a pedunculated posterior
subserosal/broad ligament fibroid There is moderate left-sided haematosalpinx.
right ovary measures 3.5 X 3.8 X 2.6 mm with a dominant follicle of 2.2 cm.
junction and cervical zone anatomy is preserved.
No free pelvic fluid. No significant iliac chain lymph nodes. No abnormal bone or
soft tissue signals.
Note is made of small torlov cysts S2 and S3 level.
Urinary bladder appears unremarkable.
Brief Answer:
Myomectomy is a must
Detailed Answer:
Hello madam, thanks for trusting health care magic.
I have seen all the reports and read your history and thus after relating both it is evident that you need myomectomy at the earliest.
In my opinion it will be a futile exercise to plan pregnancy without getting all these removed.
Even in case you fall pregnant it has high chance of abortion and preterm labor so better plan myomectomy first and pregnancy later.
All the best.
Regards
Dr Manisha
Myomectomy is a must
Detailed Answer:
Hello madam, thanks for trusting health care magic.
I have seen all the reports and read your history and thus after relating both it is evident that you need myomectomy at the earliest.
In my opinion it will be a futile exercise to plan pregnancy without getting all these removed.
Even in case you fall pregnant it has high chance of abortion and preterm labor so better plan myomectomy first and pregnancy later.
All the best.
Regards
Dr Manisha
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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