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EXPLAIN IN EASY LANGUAGE Report: Transabdominal scan performed. A transvaginal scan was declined. The uterus is normal in size, measuring 58mm x 88mm x 42mm, with a volume of 113ml. It is anteverted and the myometrium is homogeneous. Unable to comment on the mobility and tenderness of the uterus and ovaries today due to limitations of TA only imaging. The endometrium is regular measuring 12mm. There is an avascular hyperechoic 16 x 12 x 7 mm area in the fundus of the endometrium. The right ovary measures 36 x 23 x 27mm; 12mL. It contains 3 follicles, the largest measuring 11 mm. The left ovary measures 41 x 32 x 30mm; 21mL. It contains 2 follicles, the largest measuring <5 mm, as well as a simple cyst measuring 35 x 26 x 22mm. There is no free fluid in the pouch of Douglas. COMMENT: 1. Limited transabdominal study. 2. 16mm hyperechoic lesion in the fundal endometrium without demonstrable vascularity. A polyp cannot be excluded. A repeat transvaginal scan is recommended at day 5-7 of the menstrual cycle to reassess. 3. 3.5cm left ovarian simple cyst.

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