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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Fluid Signal Intensity In MRI Report Suggest?

Presented 2years ago on sono with cystic adnexal mass MRI October 2011 showed fluid signal intensity in l adnexal area 3.2cms x2.4cmsx1.8 cm. MRI repeated November 2013 area of fluid signal intensity shows 2.4cmx1.7 cmx3.1 cm... serial tv sonos3/6/13 showed fluid measuring 2.7cmsx1.3cmx2.1cm. Sono repeated May 2014shows a elongated epileptical anechoic area in l adnexal region MeSures 4.9 cms x2.2cmsx3.1cmwhat relevance is the increase in fluid? I am 6 years post menopousal with hx peritonitis as child dense adhesions at csections
Fri, 24 Oct 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The report finding in left adnexa cyst with time are as follows

1. 3.2 cm x 2.4 cm x 1.8 cm in Oct 2011 MRI Volume: 13.824 cc
2. 2.4 cm x 1.7 cm x 3.1 cm in Nov 2013 MRI Volume: 12.648 cc
3. 2.7 cm x 1.3 cm x 2.1 cm in June 2013 TVS Volume: 7.371 cc
4. 4.9 cm x 2.2 cm x 3.1 cm in May 2014 TVS Volume: 33.418 cc

From the above it can be seen that The MRI scans done in Oct 2011 and Nov 2013 show almost the same size and therefore there was no significant growth in the size.

IN the TVS measurements the size has slightly increased. This can be due to the overestimation while taking measurements or can also be slight increase in size due to fluid collection. I suggest a follow up TVS scan at present and confirmation of the size of cyst.

However, it is certainly a benign cyst which is very slow growing. Any intervention is needed only if you have symptoms like pain or menstrual disturbances.
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What Does Fluid Signal Intensity In MRI Report Suggest?

Hi, Thanks for writing in. The report finding in left adnexa cyst with time are as follows 1. 3.2 cm x 2.4 cm x 1.8 cm in Oct 2011 MRI Volume: 13.824 cc 2. 2.4 cm x 1.7 cm x 3.1 cm in Nov 2013 MRI Volume: 12.648 cc 3. 2.7 cm x 1.3 cm x 2.1 cm in June 2013 TVS Volume: 7.371 cc 4. 4.9 cm x 2.2 cm x 3.1 cm in May 2014 TVS Volume: 33.418 cc From the above it can be seen that The MRI scans done in Oct 2011 and Nov 2013 show almost the same size and therefore there was no significant growth in the size. IN the TVS measurements the size has slightly increased. This can be due to the overestimation while taking measurements or can also be slight increase in size due to fluid collection. I suggest a follow up TVS scan at present and confirmation of the size of cyst. However, it is certainly a benign cyst which is very slow growing. Any intervention is needed only if you have symptoms like pain or menstrual disturbances.