Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does My Ultrasound Scan Report Post Menopausal Bleeding Indicate?
Question: My wife had an Ultra Sound due to post menopausal bleeding. She was asked back for a biopsy and the chart says... Endometrial stripe measures 3 mm as above. A somewhat
heterogeneous appearance of the myometrium without focal lesions
identified.
heterogeneous appearance of the myometrium without focal lesions
identified.
Brief Answer:
Report seems to be normal
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Well, the ultrasound report is normal.
There seems to be no issue there.
An endometrial stripe of less than 4 mm is normal in post menopausal women.
As she is having post menopausal bleeding, this lining might be biopsied to rule out any further abnormality.
Also a Pap smear should be done.
Has the biopsy been done ?
Also could you please upload the report instead of typing it out ?
Looking forward to hearing from you.
Take care.
Report seems to be normal
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Well, the ultrasound report is normal.
There seems to be no issue there.
An endometrial stripe of less than 4 mm is normal in post menopausal women.
As she is having post menopausal bleeding, this lining might be biopsied to rule out any further abnormality.
Also a Pap smear should be done.
Has the biopsy been done ?
Also could you please upload the report instead of typing it out ?
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I've been married to this wonderful woman for 27 years and she's all my best. The "heterogeneous" appearance part kind of worried me.
A Pap smear was done, the biopsy is scheduled for 3/2/15... I can only copy and paste the info from the report:
Here's my wife's latest MyChart
Medications and Orders
Your CURRENT Medications Are
ALPRAZolam (XANAX) 0.5 MG tablet Take 1 tablet (0.5 mg total) by mouth 2 (two) times daily as needed for Anxiety. May fill 4/7/15
butalbital-aspirin-caffeine (FIORINAL) 50-325-40 MG capsule Take 1-2 capsules by mouth daily as needed. May fill 1/14/15
Calcium Carb-Cholecalciferol 600-800 MG-UNIT TABS Take by mouth. Taking about 1 x weekly, 500 mg
Ibuprofen (RA IBUPROFEN) 200 MG CAPS Take 800 mg by mouth every six hours as needed.
methadone (DOLOPHINE) 10 MG tablet 3 pills each morning, 2 pills each afternoon, and 2 pills each night. May fill 4/7/2015
Multiple Vitamin (MULTIVITAMIN) capsule Take 1 capsule by mouth daily.
ZOLMitriptan (ZOMIG) 2.5 MG tablet Take 1 tablet (2.5 mg total) by mouth as needed. At onset of migraine. May repeat in 2 hours if HA recures (max 2 per day)
Orders placed at this visit
US Pelvis Complete
To-Do List
Future Appointments Provider Department Dept Phone
3/2/2015 1:00 PM Marylou Belozer, MD MidValley Medical Plaza 541-451-7800
4/14/2015 1:00 PM Marylou Belozer, MD MidValley Medical Plaza 541-451-7800
7/29/2015 8:00 AM Lchmvmedpl Lab MidValley Medical Plaza 541-451-7800
8/5/2015 12:15 PM XXXXXXX Plotts, MD MidValley Medical Plaza 541-451-7800
Future Orders Complete By Expires
Dexa Bone Density Axial Skeleton [IMG16002 Custom] 10/15/2014 10/15/2015
PTH, intact [LAB108 Custom] 2/4/2015 6/4/2015
CBC with differential [LAB293 Custom] As directed 2/4/2016
Comprehensive metabolic panel [LAB17 Custom] As directed 2/4/2016
Hemoglobin A1c [LAB90 Custom] As directed 2/4/2016
Lipid panel [LAB18 Custom] As directed 2/4/2016
Referral to Gastroenterology [REF246 Custom] As directed 5/19/2015
Referral to Urology [REF220 Custom] As directed 3/3/2015
TSH [LAB129 Custom] As directed 2/4/2016
Vitamin D 25 hydroxy [LAB535 Custom] As directed 2/4/2016
Standing Orders Interval Expires
Calcium [LAB53 Custom] 3-4x week until 11/22/2015 11/22/2015
Diagnoses this Visit
Post-menopausal bleeding
Problem List
Atopic dermatitis and related condition
Influenza with other respiratory manifestations
Other screening mammogram
Sinoatrial node dysfunction
Chronic sinusitis
Serum calcium elevated
Elevated fasting blood sugar
Parathyroid hormone excess
Kidney stone
Chronic back pain-scoliosis
Hyperparathyroidism, primary
Preventative health care
Migraines
Acute anxiety
Post-menopausal bleeding
Other Information
Entry Date
2/18/2015
Result Narrative
PROCEDURE: US PELVIS COMPLETE
INDICATION: Two-three day history of postmenopausal bleeding. Last
menstrual period 4 years ago. History of bilateral tubal ligation.
COMPARISON: None.
FINDINGS:
Transabdominal and transvaginal images were acquired. The uterus is
anteverted and is normal in caliber measuring 7.8 x 3.7 x 4.4 cm. No
focal myometrial abnormality is identified. The endometrial stripe
measures 3 mm double-layer thickness and is somewhat
ill-defined/poorly demarcated from myometrium.
The right ovary measures 2.8 x 1.2 x 1.6 cm. The left ovary is not
identified. There are several echogenic foci within the right ovary,
favored calcifications.
No free fluid is seen within the pelvis.
Dictated by: XXXXXXX Arpin, MD on February 18, 2015 at 15:46
Transcribed by: Barnes on February 18, 2015 at 16:57
Approved by: XXXXXXX Arpin, MD on February 18, 2015 at 18:03
This report was verified electronically.
Result Impression
CONCLUSION
1. Endometrial stripe measures 3 mm as above. A somewhat
heterogeneous appearance of the myometrium without focal lesions
identified.
2. Left ovary not identified. Otherwise, normal pelvic ultrasound.
I appreciate your time and expertise and am just trying to ease her concern...and mine.
Thank you! XXXX
A Pap smear was done, the biopsy is scheduled for 3/2/15... I can only copy and paste the info from the report:
Here's my wife's latest MyChart
Medications and Orders
Your CURRENT Medications Are
ALPRAZolam (XANAX) 0.5 MG tablet Take 1 tablet (0.5 mg total) by mouth 2 (two) times daily as needed for Anxiety. May fill 4/7/15
butalbital-aspirin-caffeine (FIORINAL) 50-325-40 MG capsule Take 1-2 capsules by mouth daily as needed. May fill 1/14/15
Calcium Carb-Cholecalciferol 600-800 MG-UNIT TABS Take by mouth. Taking about 1 x weekly, 500 mg
Ibuprofen (RA IBUPROFEN) 200 MG CAPS Take 800 mg by mouth every six hours as needed.
methadone (DOLOPHINE) 10 MG tablet 3 pills each morning, 2 pills each afternoon, and 2 pills each night. May fill 4/7/2015
Multiple Vitamin (MULTIVITAMIN) capsule Take 1 capsule by mouth daily.
ZOLMitriptan (ZOMIG) 2.5 MG tablet Take 1 tablet (2.5 mg total) by mouth as needed. At onset of migraine. May repeat in 2 hours if HA recures (max 2 per day)
Orders placed at this visit
US Pelvis Complete
To-Do List
Future Appointments Provider Department Dept Phone
3/2/2015 1:00 PM Marylou Belozer, MD MidValley Medical Plaza 541-451-7800
4/14/2015 1:00 PM Marylou Belozer, MD MidValley Medical Plaza 541-451-7800
7/29/2015 8:00 AM Lchmvmedpl Lab MidValley Medical Plaza 541-451-7800
8/5/2015 12:15 PM XXXXXXX Plotts, MD MidValley Medical Plaza 541-451-7800
Future Orders Complete By Expires
Dexa Bone Density Axial Skeleton [IMG16002 Custom] 10/15/2014 10/15/2015
PTH, intact [LAB108 Custom] 2/4/2015 6/4/2015
CBC with differential [LAB293 Custom] As directed 2/4/2016
Comprehensive metabolic panel [LAB17 Custom] As directed 2/4/2016
Hemoglobin A1c [LAB90 Custom] As directed 2/4/2016
Lipid panel [LAB18 Custom] As directed 2/4/2016
Referral to Gastroenterology [REF246 Custom] As directed 5/19/2015
Referral to Urology [REF220 Custom] As directed 3/3/2015
TSH [LAB129 Custom] As directed 2/4/2016
Vitamin D 25 hydroxy [LAB535 Custom] As directed 2/4/2016
Standing Orders Interval Expires
Calcium [LAB53 Custom] 3-4x week until 11/22/2015 11/22/2015
Diagnoses this Visit
Post-menopausal bleeding
Problem List
Atopic dermatitis and related condition
Influenza with other respiratory manifestations
Other screening mammogram
Sinoatrial node dysfunction
Chronic sinusitis
Serum calcium elevated
Elevated fasting blood sugar
Parathyroid hormone excess
Kidney stone
Chronic back pain-scoliosis
Hyperparathyroidism, primary
Preventative health care
Migraines
Acute anxiety
Post-menopausal bleeding
Other Information
Entry Date
2/18/2015
Result Narrative
PROCEDURE: US PELVIS COMPLETE
INDICATION: Two-three day history of postmenopausal bleeding. Last
menstrual period 4 years ago. History of bilateral tubal ligation.
COMPARISON: None.
FINDINGS:
Transabdominal and transvaginal images were acquired. The uterus is
anteverted and is normal in caliber measuring 7.8 x 3.7 x 4.4 cm. No
focal myometrial abnormality is identified. The endometrial stripe
measures 3 mm double-layer thickness and is somewhat
ill-defined/poorly demarcated from myometrium.
The right ovary measures 2.8 x 1.2 x 1.6 cm. The left ovary is not
identified. There are several echogenic foci within the right ovary,
favored calcifications.
No free fluid is seen within the pelvis.
Dictated by: XXXXXXX Arpin, MD on February 18, 2015 at 15:46
Transcribed by: Barnes on February 18, 2015 at 16:57
Approved by: XXXXXXX Arpin, MD on February 18, 2015 at 18:03
This report was verified electronically.
Result Impression
CONCLUSION
1. Endometrial stripe measures 3 mm as above. A somewhat
heterogeneous appearance of the myometrium without focal lesions
identified.
2. Left ovary not identified. Otherwise, normal pelvic ultrasound.
I appreciate your time and expertise and am just trying to ease her concern...and mine.
Thank you! XXXX
Brief Answer:
Explained.
Detailed Answer:
Dear XXXXXXX
Thanks for the update.
Heterogenous myometrium might be age related.
Again, it might indicate adenomyosis, thickening of the muscle of the uterus, that could lead to post menopausal bleeding.
If the biopsy is normal, the Pap is normal, and the bleeding persists, then MRI of the pelvis is indicated.
Thank you for the detailed updates.
I would still have preferred looking at the report and images of the scan.
Take care
You can reach me directly anytime using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Explained.
Detailed Answer:
Dear XXXXXXX
Thanks for the update.
Heterogenous myometrium might be age related.
Again, it might indicate adenomyosis, thickening of the muscle of the uterus, that could lead to post menopausal bleeding.
If the biopsy is normal, the Pap is normal, and the bleeding persists, then MRI of the pelvis is indicated.
Thank you for the detailed updates.
I would still have preferred looking at the report and images of the scan.
Take care
You can reach me directly anytime using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. XXXXXXX .. There are no images of the scan available to me, that I am aware of, I found this information in my wife's online "MyChart". It is just a summary of her last visit.
2/12/15 she had 4 tests that all came out within normal ranges. They were:
CBC w/auto differential
Protime-INR
TSH
Complete Metabolic Panel
In October 2014 my wife, XXXXXXX had Hyperparathyroid surgery removing a parathyroid gland from below her collar bone area (wasn't where it was suppose to be). I don't know if the associated hormonal changes could have anything to do with this, or if this could affect her in other ways. She has been post menopausal for about 3 years and is on no hormone therapy of any kind.
Thank you again for your time!
2/12/15 she had 4 tests that all came out within normal ranges. They were:
CBC w/auto differential
Protime-INR
TSH
Complete Metabolic Panel
In October 2014 my wife, XXXXXXX had Hyperparathyroid surgery removing a parathyroid gland from below her collar bone area (wasn't where it was suppose to be). I don't know if the associated hormonal changes could have anything to do with this, or if this could affect her in other ways. She has been post menopausal for about 3 years and is on no hormone therapy of any kind.
Thank you again for your time!
Brief Answer:
Take care.
Detailed Answer:
Well, only a biopsy will tell us if all is clear.
This could be transient hormonal imbalance, that sometimes happens after menopause.
As long as the biopsy and the Pap are clear, there is nothing to worry about.
Please keep me updated with the reports as and when you receive them.
Thank you for your kind words once more.
Wish you luck.
Take care.
Detailed Answer:
Well, only a biopsy will tell us if all is clear.
This could be transient hormonal imbalance, that sometimes happens after menopause.
As long as the biopsy and the Pap are clear, there is nothing to worry about.
Please keep me updated with the reports as and when you receive them.
Thank you for your kind words once more.
Wish you luck.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
