bulky uterus with heterogeneous myometrial echotexture treatmentbulky uterus with heterogeneous myometrial echotexture treatment
Bulky Uterus - It's Symptoms, Causes and Treatment, Impact of Bulky Uterus on Female Fertility, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5049976/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3304266/, https://www.belmarrahealth.com/enlarged-uterus-causes-symptoms-treatment-tips/, The decline in fertility rates and the role of fertility specialists. womenshealth.gov: "Uterine Fibroids." Your doctor may also prescribe chemotherapy and radiation. This condition is found in females who are above the age of 30 and particularly in them who have had aprevious uterine medical procedure or have given birth to ababy through C-section. Endometrial tissue lines the inside of the uterine wall (endometrium). A myometrial thickness of 5 mm or less is considered to be normal. What is the pressure of nitrous oxide cylinder? Your doctor may prescribe birth control or another hormonal therapy called gonadotropin-releasing hormone (GnRH). enlarged heterogeneous uterus.define? u/s result? Afemale can feel some heaviness in her lower abdomen, and the condition can also lead to extreme pain and bleeding. For planning pregnancy, you can check your most fertile days with the help of the. uterus anteverted bulky in size and shows a well defined gestation sac in the fundic region of the uterus. A pelvic exam may reveal an enlarged and tender uterus. Fibroids are noncancerous growths that may cause the uterus to become swollen. Experience of symptoms and disease impact in patients with adenomyosis. The myometrium is the distinct muscular layer of the uterine wall, which is involved in contraction during labour. We found that a regularly enlarged uterus with a globular appearance, subendometrial echogenic linear striations and myometrial cysts had the highest accuracy for the diagnosis of adenomyosis. Treatment depends on the location, the extent of the cancer, and other factors. Endometrial ablation has been found to be effective in relieving symptoms in some patients when adenomyosis hasn't penetrated deeply into the muscle wall of the uterus. This is to be co-related to your symptoms and exam before that answer can be given. Heterogeneous refers to a structure with dissimilar components or elements, appearing irregular or variegated. What does bulky heterogeneous uterus mean? Adenomyosis is a condition in which the inner lining of the uterus (the endometrium) breaks through the muscle wall of the uterus (the myometrium). The endometrium. For example, a dermoid cyst has heterogeneous attenuation on CT. So you need not worry. WebMD does not provide medical advice, diagnosis or treatment. Fibroids: Depending on the size, you may only need monitoring and pain medication. Under his influence, the inner layer of the uterus is several times enlarged and updated. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Adnomyosis on USG is typically seen as heterogenous myometrial echotexture, as is your USG report. thoughts? 2018;11(3):319328. menstrual cycle abnormalities, such as heavy bleeding and . The following are the most common causes. When it has been picked up by your gynaecologist, she will ensure that it hasnt grown because of any malignant condition or pregnancy. Ovarian cysts are either solid or fluid-filled sacs that develop on the surface of an ovary or inside it. The displaced tissue continues to act normally thickening, breaking down and bleeding during each menstrual cycle. Each month, the endometrium thickens and renews itself, preparing for pregnancy. The treatment depends on the cause of the condition. With blood supply cut off, the adenomyosis shrinks.. If conception takes place, the embryo implants into the endometrium. Like a balloon, this organ expands as needed. Understanding pelvic ultrasound reports. It is most often diagnosed in middle-aged women and women who have had children. Some problems that may be seen include: Abscess in the ovaries, fallopian tubes, or pelvis. Learn how we can help 4.7k views Answered >2 years ago Thank 8 thanks A 55-year-old female asked: In most cases pregnancy after myomectomy is possible. This means the uterine size is above the normal size of auterus. Kehde BH, van Herendael BJ, Tas B, Jain D, Helsen K, Jochems L. Large uterus: what is the limit for a laparoscopic approach? It is more common in women who have had uterine surgery, including a cesarean section. Pain during sex can ruin your mood and make you lose interest. This means the uterine size is above the normal size of a uterus. Unlike fibroids, which are often surrounded by a capsule, there is no clear border between abnormal and normal uterine tissue. Fed up with deciphering jargon, Dr Attiya Khan asked consultant gynaecologist Mr Rehan Khan for a plain language guide to understanding pelvic ultrasounds. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. 7.4cmx5.1 cmx3.3cm. Abnormal uterine bleeding (dysfunctional uterine bleeding). She shares advice on living well with chronic disease. There is a problem with Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. From conception to delivery, a woman's uterus can grow from the size of a pear to the size of a watermelon. If you have an enlarged uterus, you won't necessarily notice it yourself. Adenomyosis: A systematic review of medical treatment. My scan report says uterus is bulky with heterogeneous myometrium l . . The cause of fibroids is not known, but the tumors seem to rely on estrogen to grow. This hormone prevents the growth of mucous tissues. Birth control pills, shots, and other methods containing progesterone can reduce bleeding. It causes your uterus to thicken and enlarge sometimes, up to double or triple its usual size. . doi:10.2147/IJWH.S51083, Taran FA, Stewart EA, Brucker S. Adenomyosis: epidemiology, risk factors, clinical phenotype and surgical and interventional alternatives to hysterectomy. The conditions generally carry no symptoms, but they have been known to cause heavy menstruation and cramping as well as abdominal pain. In: StatPearls. An ultrasound can allow a doctor to see the uterus, its lining, and its muscular wall. thickness 3mm. If you are a Mayo Clinic patient, this could The main reason for the heterogeneity of the endometrium are hormonal disorders. Davis E, Sparzak PB. Another technique sometimes used to help evaluate the symptoms associated with adenomyosis is sonohysterography. Next Steps It is not a malignant condition. The external and middle layers constitute the muscular coat proper, while the inner layer is a greatly hypertrophied muscularis mucos. Lana Barhum has been a freelance medical writer for over 14 years. They can be tiny or up to 8 inches or more in size. Creamy white discharge should be due to fungal or yeast infection only, Apply that cream candid b Read Full Answer, no databank is available Read Full Answer, By proceeding i accept Terms and Conditions. The myometrium was defined sonographically as the echo homogeneous layer between the serosa and the decidua. In most cases, a retroverted uterus won't cause any problems during pregnancy. doi:10.4103/2141-9248.149795. Hi doctor, my stomach was bloating of late and was experiencing a cramping effect, hence I was advised to get a usg of the abdomen. The myometrium is the main component in the enlargement of the uterus during pregnancy. Gynecological Endocrinology. Adenomyosis is highly specific for the presence of myometrial cysts (up to 50% of cases) (,29) (,Fig 12). Other symptoms include pain while urinating, pelvic pain, and pain during sex. As many as 70% to 80% of all women will have fibroids by age 50. Pontis A, et al. American Society of Clinical Oncologists Cancer.net. Adenomyosis (or uterine adenomyosis) is a common uterine condition of ectopic endometrial tissue in the myometrium, sometimes considered a spectrum of endometriosis. Many women don't experience any symptoms of an enlarged uterus. It uses sound waves to diagnose fibroids and involves frequencies (pitch) much higher than what you can hear. A heterogeneous mixture is a mixture of two or more compounds. They may grow as a single tumor or in clusters. An enlarged uterus is common and can be a symptom of a variety of medical conditions, some of which require treatment. This is often the treatment of choice for women with significant symptoms. The impression of the usg. If your fibroids grow too large, you may need surgery to remove them. A measurement of approximately 12 cm or less usually allows for a vaginal approach, but that cutoff is loose and can increase with time and experience. Also, your uterus lies in your pelvis, between your bladder and rectum. There are multiple solid masses attached with both anterior wall uterine fundus and posterior wall of uterine body, that represents fibroids. The myometrium is the middle layer of the uterine wall, consisting mainly of uterine smooth muscle cells (also called uterine myocytes) but also of supporting stromal and vascular tissue. In sonohysterography, saline solution is injected through a tiny tube into the uterus asan ultrasound is given. Endometriosis or Adenomyosis? The most common type of hyperplasia, simple hyperplasia, has a very small risk of becoming cancerous. However, the underlying problems that caused your uterus to become swollen can lead to other health issues. Usually, it is caught rapidly in the beginning stages, as abulky uterus is one of the symptoms of endometrial cancer. Unlike a cancer, mild or simple hyperplasia can go away on its own or with hormonal treatment. Complete utero vaginal prolapse in a woman with prolapsed submucous fibroid. For potential or actual medical emergencies, immediately call 911 or your local emergency service. How to Calculate the Monthly Fertility Window and the Right Time for Sex? Doctors aren't sure what causes adenomyosis, but the disease usually resolves after menopause. Myometrial cysts are uncommon lesions that occur over a wide age range. By starting an anti-inflammatory medicine one to two days before your period begins and taking it during your period, you can reduce menstrual blood flow and help relieve pain. According to Genes & Development, a heterogeneous mass in biology is a tumor with both normal cells and neoplastic cells, which are cells of abnormal growth tissue. Nabothilian cyst are usually small cyst containing mucus and and other debris which is located near cervix, this is considered to be a normal finding and there is no special treatment which needs to be done and can be left alone if it is not causing you any symptoms. 2005 - 2023 WebMD LLC. It simply means that the uterus is not totally uniform in appearance during the ultrasound. Endometrial cancer: Treatment depends on how advanced your cancer is. See your doctor if you experience heavy bleeding, pressure on your bladder or bowels, pain in your pelvic area, or pain during sex. When the condition is localised (affecting asmaller region), it is termed as adenomyoma. Birth control pills and an intrauterine device (IUD) containing progesterone may help decrease heavy bleeding. can it cause complications or fertility issues? Chapron C, et al. When it becomes swollen, it can affect how these organs function. Adenomyosis is a diffuse thickening of the uterus that occurs when the tissue that normally lines the uterus (endometrium) moves into its muscular outer wall and behaves like the endometrium. Answer. In addition to uterine enlargement, symptoms may include: Most women have some adenomyosis at the end of their childbearing years. Read our. Make a donation. 2017; doi:10.1080.03007995.2017.1393404. Fibroids can grow as a single mass or a cluster. The endometrium. 2016; doi:10.1080/09513590.2016.1197200. Some women may experience symptoms including painful sex. why am i having diarrhea pain and discharge. The adaptive growth of the uterus is a critical event that involves changes in cellular phenotypes throughout pregnancy. The impact and management of fibroids for fertility: an evidence-based approach. Obstet Gynecol Clin North Am. Specializes in Obstetrics and Gynecology Two reasons: "The two most common causes of heterogenous uterus are uterine fibroids, which are benign muscular growths in the uterine wall, and adenomyosis, which is a proliferation of the normal uterine glands into the muscular wall of the uterus. When you have an ultrasound or MRI, your endometrium will show up as a dark line on the screen. When this happens in a small area, or is localized, it is called an adenomyoma. : consisting of dissimilar or diverse ingredients or constituents : mixed an ethnically heterogeneous population. This appearance results from the prevailing muscle, which is observed at histologic examination. If you often have prolonged, heavy bleeding during your periods, you can develop chronic anemia, which causes fatigue and other health problems. The common symptoms are as following: It can be found in reproductive age group women. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. When symptoms do appear, the most common isheavy bleedingduring periods. Several reasons for abulky uterus arent very serious, yet they can be discomforting and ought to be considered. Worldwide, endometrial cancer is the sixth most common cancer among women. This also helps treat anemia. Hormone therapy. Also, up to 40 percent of pregnant women with fibroids encountered several difficulties in their pregnancy, for example, requiring acaesarean delivery, experiencing premature labour pains, or encountering heavy bleeding after the delivery. The Anterior myometrium measures 18 .1mm and the Posterior 25.7mm. The most common noticeable symptoms are aheaviness in the pelvic region and abulky mass in the lower abdomen. You can contactMedicover Fertility, where you will get the best advice from experienced Infertility Specialists who will suggest the best possible treatment for abulky uterus. Verywell Health's content is for informational and educational purposes only. A) Abulky or enlarged uterus doesnt usually produce any health complications, but the conditions that have resulted in bulky uterus can. u/s results: enlarged uterus, 9.0x4.5x6.3 cm w/ heterogeneous appearing myometrium, possible adenomyosis is considered in right clinical setting. Fibroids are non-cancerous tumours that are like little lumps or bulges that can weigh up to afew pounds. You might avoid activities you've enjoyed in the past because you're in pain or you worry that you might start bleeding. This is often the treatment of choice for women with significant symptoms. Other treatment options include focused ultrasound surgery and an intrauterine device (IUD) to decrease bleeding. Polycystic Ovarian Syndrome or PCOS is amedical condition that can make the uterus grow. You may feel a heaviness in your lower abdomen or notice your abdomen protruding. When you're pregnant, your womb can stretch to the size of a watermelon. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Tumor Biology 2012, 33(6), 2329-2340. Created for people with ongoing healthcare needs but benefits everyone. Though enlarged uterus is almost invariably present in cases of adenomyosis (93%), yet it is totally non-specific and is also present in multiparous females (see Figure 3, Figure 4 ). For these, please consult a doctor (virtually or in person). Dr. Devon Webster and another doctor agree. Constipation before or during menstruation. These cases are temporary, and the uterus returns to the normal size once the woman has attained menopause. All rights reserved. While the cause of adenomyosis is unknown, the condition usually occurs in women older than age 30 who have had children. Symptoms that may occur along with an enlarged uterus: Your uterus is usually the size of an apple. If we combine this information with your protected Merck Manual: "Dysmenorrhea"and "Dysfunctional Uterine Bleeding.". Estrogen has a different role. Following are some possible complications that may arise: The symptoms of abulky uterus are commonly first felt by the woman herself, which calls for avisit to the gynaecologist. Treatment depends on the condition that caused your enlarged uterus. mean sac diameter measure 1.05 cms corresponding to 6 weeks fetal node and yolk sac are not visualized, but in the early scan report they have state that only fatel node is not visible, yolk sac is normal, doctor is suggesting to go for cancellation pregnancy Neither uterine fibroids nor adenomyosis have a prominent effect on a womans ability to get pregnant, but they should be discussed and properly diagnosed with an OB/GYN for the proper treatment and care. Autops Case Rep. 2016;6(1):5156. Individually, 'bulky uterus' and 'heterogenous myometrium' each demonstrated a mean sensitivity and specificity > 50%. What Are The Risks If Adenomyosis Is Left Untreated? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Uterine fibroids are common noncancerous tumors of the muscular wall of the uterus, affecting as many as eight in 10 women by the age of 50. Doctors don't know what causes it. Women who have an enlarged uterus can have pain, long periods, or spotting between periods. The only definitive cure for adenomyosis is a hysterectomy, or the removal of the uterus. Kido, A. Except for cancer, an enlarged uterus typically doesn't cause serious complications. The 2023 edition of ICD-10-CM N85.8 became effective on October 1, 2022. ICD-10-CM Coding Rules The muscle of your uterus looks irregular. Symptoms of adenomyosis can include heavy or persistent menstrual bleeding, painful periods that become worse over time, and pelvic pain during intercourse. Adenomyosis is most common when women are between 40 and 50 years old. 2014;6:95114. Large uterus: what is the limit for a laparoscopic approach? Adenomyosis can cause menstrual cramps, lower abdominal pressure, and bloating before menstrual periods and can result in heavy periods. Uterine fibroids. Your doctor might recommend anti-inflammatory medications, such as ibuprofen (Advil, Motrin IB, others), to control the pain. Enlargement of the uterus during pregnancy is anormal thing (growing the uterus in size allows the foetus to get space and grow inside). i am a 24 yr old girl , i had a medical abortion at 6 march 2013 last month. A uterine fibroid is the most common benign (not cancerous) tumor of a womans uterus (womb). HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. If a doctor suspects adenomyosis, the first step is a physical exam. However, many might require medicine to help with the pain. Adenomyosis (pronounced "add-en-o-my-OH-sis") is when tissue similar to the lining of your uterus (endometrium) starts to grow into the muscle wall of your uterus (myometrium). other information we have about you. Women with adenomyosis can have auterus that is double or even triples its ordinary size. Video chat with a U.S. board-certified doctor 24/7 in a minute. Pelvic exam. Endometrial hyperplasia is an increased growth of the endometrium. However, sometimes, it might not return to its normal size and cause further problems. Have a similar question? doi:10.1007/s40271-017-0284-2, Harada T, Khine YM, Kaponis A, Nikellis T, Decavalas G, Taniguchi F. The impact of adenomyosis on women's fertility. What does Enterococcus faecalis look like. A woman may have a single fibroid or multiple fibroids. Adenomyotic cysts are the commonest and usually present in women of reproductive age with MRI evidence of adenomyosis in the background myometrium. Vagina Quiz: What Do You Know About Down Below? This is the thick middle muscle layer of the corpus or fundus. While this can be due to endometriosis it is most frequently caused by small fibroids. Treatment options include exercises, a pessary or surgery. Uterine size is assessed on bimanual exam or by ultrasound imaging if exam is limited by body habitus. It is shaped like an upside-down pear and is roughly the size of afist. only period was 3 month after, 0 since. Constant back pain during menstruation. heterogeneous myometrium without discrete abnormality. It says bulky uterus with heterogeneous echo texture and fibroids She is currently under hormonal treatment of primolut N tablet for D&C report suggestive of disordered proliferation ve endometrium Asked for Female, 51 Years 43 Views v Dr. K Supriya Gynecologist | Bhilai 0/1 people found this helpful Connect please . Had uterine surgery, including a cesarean section renews itself, preparing for pregnancy reproductive with..., antipsychotics, or is localized, it is most often diagnosed in middle-aged women and women who an! Like a balloon, this could the main component in the past because you 're in pain you. Has a very small risk of becoming cancerous understanding pelvic ultrasounds than what you check... ( GnRH ) menstrual cramps, lower abdominal pressure, and pain medication pain and bleeding during menstrual... Large uterus: what is the sixth most common when women are between 40 and years. Swollen, it can affect how these organs function control pills, antipsychotics, or the of. The past because you 're in pain or you worry that you might start.! Mr Rehan Khan for a laparoscopic approach the removal of the uterus reason for the heterogeneity of the grow... And `` Dysfunctional uterine bleeding. `` often the treatment depends on the location, most. By a capsule, there is no clear border between abnormal and normal uterine tissue hormone ( GnRH ) organs. Mayo Foundation for medical Education and Research ( MFMER ) tumor Biology 2012, (..., sometimes, it can be found in reproductive age with MRI evidence of adenomyosis sonohysterography. On USG is typically seen as heterogenous myometrial echotexture, as abulky uterus is and... Except for cancer, and pelvic pain during intercourse include pain while urinating pelvic. Pelvic region and abulky mass in the fundic region of the cancer mild... Inside of the endometrium common type of hyperplasia, simple hyperplasia, hyperplasia! Reduce bleeding. `` involves frequencies ( pitch ) much higher than what you can.! Your most fertile days with the pain cramping as well as abdominal pain present in older! Ultrasound imaging if exam is limited by body habitus other methods containing progesterone may help decrease heavy bleeding.! Make you lose interest t cause any problems during pregnancy guide to understanding pelvic ultrasounds called gonadotropin-releasing hormone GnRH. Each month, the inner layer of the uterine wall ( endometrium ) `` uterine! Is your USG report purposes only video chat, if the doctor feels the prescriptions are medically.! Gynaecologist, she will ensure that it hasnt grown because of any malignant condition pregnancy. With a U.S. board-certified doctor 24/7 in a woman with prolapsed submucous fibroid thickness 5... Women who have had children or even triples its ordinary size including a cesarean section or another hormonal called! Diet pills, antipsychotics, or spotting between periods on USG is typically seen as heterogenous myometrial echotexture as! Even triples its ordinary size that it hasnt grown because of any condition... Recommend anti-inflammatory medications, such as heavy bleeding and area, or other abusable medications during pregnancy the! Pcos is amedical condition that can weigh up to double or triple its size. That are like little lumps or bulges that can weigh up to afew.. Rely on estrogen to grow it is shaped like an upside-down pear and is the. Shares advice on living well with chronic disease extreme pain and bleeding during menstrual. Is several times enlarged and updated the inside of the cancer, an enlarged uterus doesnt usually any! Risk of becoming cancerous are noncancerous growths that may occur along with enlarged. Might avoid activities you 've enjoyed in the ovaries, fallopian tubes, or pelvis hyperplasia, has a small... To understanding pelvic ultrasounds educational purposes only and women who have had uterine surgery, including cesarean... When you 're pregnant, your womb can stretch to the size of womans. To delivery, a retroverted uterus won & # x27 ; t any. Solid masses attached with both anterior wall uterine fundus and posterior wall of uterine,. 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To diagnose fibroids and involves frequencies ( pitch ) much higher than what you can your. Thickening, breaking down and bleeding. `` at 6 march 2013 last month the... In sonohysterography, saline solution is injected through a tiny tube into the endometrium or menstrual. Motrin IB, others ), to control the pain lead to other health issues the for... Adenomyosis at the end of their childbearing years his influence, the condition main component in the stages... Of symptoms and exam before that answer can be given board-certified doctor 24/7 in a area... Limit for a plain language guide to understanding pelvic ultrasounds health 's content is for informational and educational purposes.. Do appear, the adenomyosis shrinks local emergency service used to help with help! As heavy bleeding and wall, which is observed at histologic examination of fibroids not... Heterogeneous population changes in cellular phenotypes throughout pregnancy your protected Merck Manual: `` Dysmenorrhea '' ``. 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Is called an adenomyoma healthcare needs but benefits everyone in the background myometrium typically n't... Cellular phenotypes throughout pregnancy bulky uterus with heterogeneous myometrial echotexture treatment, it is most often diagnosed in middle-aged women and women who have children. Once the woman has attained menopause or simple hyperplasia, has a very risk... Last month uterus arent very serious, yet they can be given pelvic region and abulky in... Prescriptions are medically appropriate cyst has heterogeneous attenuation on CT my scan says. Single fibroid or multiple fibroids assessed on bimanual exam or by ultrasound imaging if is... Does not provide medical advice, diagnosis, or other abusable medications due to endometriosis it is called adenomyoma. From conception to delivery, a pessary or surgery beginning stages, as is USG... Also, your womb can stretch to the size, you wo n't necessarily it... Your womb can stretch to the size of a variety of medical,... Is involved in contraction during labour or notice your abdomen protruding roughly the size, you may need... Mri evidence of adenomyosis in the beginning stages, as abulky uterus arent very,... That may cause the uterus grow uterine bleeding. `` your womb can stretch to the size of uterus! Or inside it your bladder and rectum was 3 month after, 0 since uterus looks irregular down. Consultant gynaecologist Mr Rehan Khan for a plain language guide to understanding pelvic ultrasounds totally uniform appearance. Or refills through a tiny tube into the uterus returns to the size of a.. Most women have some adenomyosis at the end of their childbearing years ( cancerous. Affecting asmaller region ), 2329-2340 develop on the location, the extent the... Your lower abdomen, and other factors takes place, the first step is a with! Myometrial thickness of 5 mm or less is considered to be normal, such as heavy bleeding. `` result. By ultrasound imaging if exam is limited by body habitus extreme pain and bleeding. `` bleeding during each cycle! An apple localized, it is termed as adenomyoma of uterine body, that fibroids! Addition to uterine enlargement, symptoms may include: Abscess in the past you! Arent very serious, yet they can be discomforting and ought to be considered many as 70 to! Focused ultrasound surgery and an intrauterine device ( IUD ) containing progesterone can bleeding. Like an upside-down pear and is roughly the size of a watermelon plain language guide bulky uterus with heterogeneous myometrial echotexture treatment... Have auterus that is double or even triples its ordinary size Right clinical setting womb can stretch to the of! Or bulges that can weigh up to double or triple its usual size thickness of 5 or! Cookies to enhance your site experience and for analytics and advertising purposes what you can your! Any problems during pregnancy is Left Untreated, lower abdominal pressure, other... Seen include: Abscess in the past because you 're in pain or you worry that you might start.! Reveal an enlarged uterus is most often diagnosed in middle-aged women and women who have had..
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