What are the differentials?
Prolapsed ectopic left ureterocele, prolapsed urethral diverticulum, or cystocele.
The palpable abnormality corresponds with a cystic structure anterior to the vagina and inferior to the symphysis pubis. A shadowing echogenic focus is present along its posterior aspect. There is an apparent left ureteric jet identified within this abnormality noted. Definite direct communication between the abnormality and the bladder was not demonstrated.
The right ureter was identified with a normal jet into the base of the bladder. No left ureteric jet at the level of the bladder identified.
Normal appearance of an anteverted uterus with volume of 33 ml. Right and left ovaries have volumes of 3.2 ml and 1.7 ml respectively.
Small amount of free fluid noted in the pouch of Douglas.
Right and left kidneys measure at 108 mm and 80 mm respectively. No pelvicalyceal dilatation.