{"id":964,"date":"2025-07-25T08:39:54","date_gmt":"2025-07-25T05:39:54","guid":{"rendered":"https:\/\/drnasrinzangana.medspire.net\/?post_type=cases&p=964"},"modified":"2025-07-25T08:39:54","modified_gmt":"2025-07-25T05:39:54","slug":"pelvic-transvaginal-abdominal-color-doppler-us","status":"publish","type":"cases","link":"https:\/\/drnasrinzangana.medspire.net\/ku\/cases\/pelvic-transvaginal-abdominal-color-doppler-us\/","title":{"rendered":"Pelvic Transvaginal & Abdominal color Doppler\u00a0 U\\S"},"content":{"rendered":"

Bulky uterus, endometrial lining thickness 2mm, occupied by clear avascular  fluid , mostly due to mass effect , Presence of hypoechoic  solid mass 68x48mm  ,vascular on color Doppler , Color Score 4 (Hyper vascular) ,  within right sided posterior submucosal subserosal region  , associated with  other  <\/strong>two smaller masses seen on the anterior wall , their sizes are 19x18mm& 8x12mm   (Metastasis?  Lymphoma ??) or other suspicious masses <\/strong><\/p>\n\n\n\n

Associated  with Presence of pathological lymph node in  the right para iliac region  size  35x24mm& <\/strong>other pathological lymph node in the left para iliac region 35x21mm , lymphoma or secondary metastasis can not be excluded <\/strong><\/p>\n\n\n\n

Atrophied both ovaries, bilateral few tiny follicles, their sizes less than 2mm, no dominate follicle, nor mass <\/p>\n\n\n\n

No free pelvic fluid<\/p>\n\n\n\n

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Pelvic MRI With IV Gd:<\/strong><\/h2>\n\n\n\n
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  • Evidence of 7.5 X 4cm mass involves Rt side of uterus reaches endometrium, involves whole thickness of uterus and extends to Rt adnexa,\u00a0 also infiltration of peritoneal reflesion in Rt side of rectouterine pouch, shows marked DWI restriction, picture is suggestive of malignant tumor ?lymphoma\u00a0 ?sarcoma\u00a0<\/li>\n\n\n\n
  • Single Lt internal iliac pathological LN, 18mm in short axis diameter, its signal is like uterine mass.<\/li>\n\n\n\n
  • There is also 26 X 22mm lesion in Rt internal iliac region, but heterogeneous signal ?pathological LN with necrosis<\/li>\n\n\n\n
  • Endometrial thickness is 8 mm, no obvious\u00a0focal mass.\u00a0<\/li>\n\n\n\n
  • Mild pelvic free fluid.<\/li>\n\n\n\n
  • Normal both ovaries in size, no mass.<\/li>\n\n\n\n
  • Normal UB in wall thickness.<\/li>\n\n\n\n
  • No obvious rectal pathology.<\/li>\n\n\n\n
  • No pelvic bone lesion.\u00a0<\/li>\n<\/ul>\n\n\n\n
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    \"\"<\/figure>","protected":false},"author":2,"featured_media":0,"template":"","cases-category":[],"class_list":["post-964","cases","type-cases","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drnasrinzangana.medspire.net\/ku\/wp-json\/wp\/v2\/cases\/964","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drnasrinzangana.medspire.net\/ku\/wp-json\/wp\/v2\/cases"}],"about":[{"href":"https:\/\/drnasrinzangana.medspire.net\/ku\/wp-json\/wp\/v2\/types\/cases"}],"author":[{"embeddable":true,"href":"https:\/\/drnasrinzangana.medspire.net\/ku\/wp-json\/wp\/v2\/users\/2"}],"wp:attachment":[{"href":"https:\/\/drnasrinzangana.medspire.net\/ku\/wp-json\/wp\/v2\/media?parent=964"}],"wp:term":[{"taxonomy":"cases-category","embeddable":true,"href":"https:\/\/drnasrinzangana.medspire.net\/ku\/wp-json\/wp\/v2\/cases-category?post=964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}