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ULTRASOUND OF PELVIS, NON-OBSTETRIC 

REASON FOR EXAM: Right bowel obstruction.

HISTORY: Difficulty passing urine. 

TECHNIQUE: Transvesical images of the pelvis were obtained.
 
COMPARISON: Pelvic ultrasound from May 2005.
 
FINDINGS: The uterus is anteverted measuring approximately 9.3 cm long x 4.1 cm AP x 6.2 cm transverse. The endometrium is normal with endometrial stripe measuring 3 mm.
 
The fundus and body of the uterus is heterogeneous in echotexture and lobulated, suggestive of fibroids.  There is an approximately 1.6 x 2.2 cm hypoechoic fibroid in the fundus of the uterus anteriorly.
 
Both ovaries are visualized and appear normal. The right ovary measures 2.4 cm x 2.2 cm x 2.1 cm.  The left ovary measures 2.2 cm x 2.4 cm x 2.2 cm.  No adnexal mass is seen.  No free fluid is noted in the cul-de-sac.
 
IMPRESSION:  Fibroid uterus.  Approximately 1.6 x 2.2 cm fibroid identified by transabdominal ultrasound.  If clinically indicated, an endovaginal pelvic ultrasound may be obtained.