instruction: hello doctor I need a second opinion on my ultrasound result transvaginal ultrasound reveals cyst on ovary or hydrosalpinx ultrasound was done on day of menstrual cycle I stopped taking birth control months ago I am currently not taking any medication perhaps you have another opinion or have other findings thank you
output: hello I have gone through your brief clinical history and the images you have provided though I would like you to answer a few more questions so as to provide you better diagnosis and suggest appropriate management are your menses regular is the flow normal heavy or low do you have children normal delivery or cesarean sections any abortion miscarriage or and done any history of urogenital infection or chronic discharge per vaginum now coming onto your query and analysis of the images you have sent first image shows anterverted uterus with a 9 my calcific focus in endometrial region this calcification is most likely due to earlier invective or inflammatory pathology nothing to worry about second image shows minimal amount of clear fluid in the endometrial canal with thin endometrium for ith day of cycle third fourth and fifth images show an oblong soft tissue structure adjacent to the left ovary this could either be part of the bowel or fallopian tube I can differentiate it on a dynamic scan or an ultrasound video rather than a still image the left ovary looks normal with few follicles seen within it no obvious cyst is seen in the image provided also the left tube is not dilated and therefore no hydrosalpinx is seen the last sixth image shows part of normal bowel loop in the right adnexa no right ovary or dilated tube is seen in the image provided I hope this helps invective inflammatory hormonal assays serum fish follicle stimulating hormone oh lutenizing hormone prolactin and androgen levels complete blood count ruined routine and microscope sos pap smear follow up with reports