One of the biggest worries before any scan is: what if they find something abnormal? Understanding the process ahead of time can replace fear with a sense of what to expect.
First: "Abnormal" Covers a Huge Range
It's important to know that an abnormal finding is not automatically serious. The vast majority of unexpected findings on ultrasound are:
- Benign (harmless), like simple cysts or fibroids
- Incidental — unrelated to why you had the scan, and often needing no action
- Minor and easily managed
Only a small proportion of findings turn out to be significant, and even then, catching them is exactly what the scan is for.
The Typical Pathway After an Abnormal Finding
1. The radiologist documents it The reporting doctor describes the finding precisely and notes whether it's likely benign, uncertain, or needs attention.
2. Your referring doctor reviews the report They interpret the finding in the context of your symptoms, history, and other tests — the full picture.
3. You discuss it together Your doctor explains what was found and what it means for you, in plain terms.
4. Next steps, if any Depending on the finding, options might include:
- Reassurance and no action — very common for benign findings
- A follow-up scan to check for change over time (a "watchful waiting" approach)
- Further imaging — MRI, CT, or a specialised ultrasound for more detail
- Blood tests
- Referral to a specialist for expert assessment
Why Follow-Up Isn't a Reason to Panic
Being asked to return for another scan or test is often just standard caution. Many findings are followed up simply to confirm they're stable or resolving — and most turn out to be nothing to worry about.
How to Cope With the Uncertainty
Waiting between finding and answer is often the hardest part. It can help to:
- Ask your doctor specific questions — what it is, how likely it's serious, and the plan
- Avoid over-researching online, which tends to amplify worst-case scenarios
- Lean on your care team, who can give you realistic, personalised context
The Reassuring Bottom Line
Finding something is the scan doing its job. And with the great majority of findings being benign or easily managed, an abnormal result is far more often a manageable next step than a crisis.
This article is for general information only and is not a substitute for professional medical advice.
Ready to Book Your Ultrasound Scan?
Mascot Healthcare Clinic, Akoka (Yaba), Lagos offers ultrasound scans by appointment only, Monday–Saturday, 9am–5pm. Book online and choose a time that works for you.