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    Jewel Mae Daniel
    1) Debra Rose Mariano, a 48-year-old female, underwent a transvaginal ultrasound which found a globular and anteverted uterus with features of adenomyosis and adenomyoma, including ill-defined myomatous growths and asymmetric wall thickening. 2) The endometrium was thickened and non-uniform, without cysts. Normal sized ovaries were observed. 3) Deep infiltrating endometriosis and pelvic adhesive disease were also found, including an irregular hypoechogenic structure in the low posterior uterine wall and obliterated pouch of Douglas.

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    1) Debra Rose Mariano, a 48-year-old female, underwent a transvaginal ultrasound which found a globular and anteverted uterus with features of adenomyosis and adenomyoma, including ill-defined myomatous growths and asymmetric wall thickening. 2) The endometrium was thickened and non-uniform, without cysts. Normal sized ovaries were observed. 3) Deep infiltrating endometriosis and pelvic adhesive disease were also found, including an irregular hypoechogenic structure in the low posterior uterine wall and obliterated pouch of Douglas.

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    1) Debra Rose Mariano, a 48-year-old female, underwent a transvaginal ultrasound which found a globular and anteverted uterus with features of adenomyosis and adenomyoma, including ill-defined myomatous growths and asymmetric wall thickening. 2) The endometrium was thickened and non-uniform, without cysts. Normal sized ovaries were observed. 3) Deep infiltrating endometriosis and pelvic adhesive disease were also found, including an irregular hypoechogenic structure in the low posterior uterine wall and obliterated pouch of Douglas.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    112 views2 pages

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    Uploaded by

    Jewel Mae Daniel
    1) Debra Rose Mariano, a 48-year-old female, underwent a transvaginal ultrasound which found a globular and anteverted uterus with features of adenomyosis and adenomyoma, including ill-defined myomatous growths and asymmetric wall thickening. 2) The endometrium was thickened and non-uniform, without cysts. Normal sized ovaries were observed. 3) Deep infiltrating endometriosis and pelvic adhesive disease were also found, including an irregular hypoechogenic structure in the low posterior uterine wall and obliterated pouch of Douglas.

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    of 2

    WOMEN'S HEALTH CARE UNIT

    Transvaginal Ultrasound

    PATIENT’S NAME (Last, First Middle Name) DATE/TIME OF EXAM


    MARIANO, Debra Rose Jul-26-2023 11:35 AM
    PIN BIRTHDATE AGE/GENDER ROOM/BED REQUESTING PHYSICIAN
    2307193516 Oct-18-1974 48Y/F OPD UY, LESTER SY M.D.

    LMP: 06/24/2023
    PERTINENT DATA:day 33
    G: 4 P: 4(4004)
    Cervix: 2.3 x 2.6 x 3.2cm, (L x H x W), intact canal

    Endometrium: 1.19cm, non-uniform, with no cystic areas of heterogenous background,


    endometrial midline not defined and interrupted endometrial-myometrial junction
    by adenomyomas at anterior and posterior wall, no color flow (color score = 1)
    Uterus: 6.2 x 5.5 x 6.0cm, (L x H x W), vol. 106.9cc, globular and anteverted with
    hyperechogenic islands, translesional vascularities, asymmetrical wall thickening
    (thicker posterior wall = 3.1cm than anterior wall = 1.7cm) and with ill-defined
    myomatous growths as follows: 1) upper posterior, 3.0 x 2.8 x 3.1cm, vol. 13.6cc;
    2) mid anterior, 1.7 x 1.6 x 1.9cm, vol. 2.6cc, suggestive of adenomyosis and
    adenomyoma
    Right Ovary: 1.9 x 1.6 x 2.4cm, (L x H x W), vol. 3.7cc, normal in size and echotexture, normal
    mobility
    Left Ovary: 2.6 x 1.3 x 1.5cm, (L x H x W), vol. 2.7cc, normal in size and echotexture, normal
    mobility

    OTHER FINDINGS:
    The rectocervix does not glide with the anterior rectum suggestive of an obliterated pouch of
    Douglas
    (+) site specific tenderness at the right and left adnexal area

    There is a hypoechogenic irregularly - shaped structure at low posterior wall of the uterine corpus
    with no color flow, 2.4 x 0.9 x 2.1cm, vol. 2.3cc, could be low anterior rectum endometriotic implant.
    IMPRESSION:

    NELINDA CATHERINE P. PANGILINAN, M.D.,


    PRC#72722
    OB-GYN SONOLOGIST

    The impression is based on ultrasound imaging measurements and observations. To be clinically useful, please correlate with the patient's
    history, physical examination and other ancillary tests.-DR. R. K. L. CABARLES
    This report has been electronically validated. No signature is required.

    OR/CI # 0135202307001475 PRINT DATE/TIME: 07 26 2023 12:27 PM


    DOCUMENT # 01350723352219 Page 1 of 2
    279 E. Rodriguez Sr. Blvd., Quezon City * Tel. No.: (632) 723-0101 / 723-0301
    WOMEN'S HEALTH CARE UNIT
    Transvaginal Ultrasound

    PATIENT’S NAME (Last, First Middle Name) DATE/TIME OF EXAM


    MARIANO, Debra Rose Jul-26-2023 11:35 AM
    PIN BIRTHDATE AGE/GENDER ROOM/BED REQUESTING PHYSICIAN
    2307193516 Oct-18-1974 48Y/F OPD UY, LESTER SY M.D.

    GLOBULAR ANTEVERTED UTERUS WITH SONOLOGIC FEATURES OF ADENOMYOSIS AND


    ADENOMYOMA
    THICKENED ENDOMETRIUM
    NORMAL OVARIES
    DEEP INFILTRATING ENDOMETRIOSIS
    PELVIC ADHESIVE DISEASE

    NELINDA CATHERINE P. PANGILINAN, M.D.,


    PRC#72722
    OB-GYN SONOLOGIST

    The impression is based on ultrasound imaging measurements and observations. To be clinically useful, please correlate with the patient's
    history, physical examination and other ancillary tests.-DR. R. K. L. CABARLES
    This report has been electronically validated. No signature is required.

    OR/CI # 0135202307001475 PRINT DATE/TIME: 07 26 2023 12:27 PM


    DOCUMENT # 01350723352219 Page 2 of 2
    279 E. Rodriguez Sr. Blvd., Quezon City * Tel. No.: (632) 723-0101 / 723-0301

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