67-year-old woman with history of pelvic mass. PELVIS:UTERUS, ADNEXA: In the cul-de-sac posterior to the uterus, there is a 117 x 99 x 94 mm multilobulated, irregularly-shaped mass. This mass is predominantly T2 hypointense, however contains reticular T2 hyperintensity. There is no definite cystic change within this mass. Only a small portion of this mass enhances (10011/273). This lesion is distinct from the uterus and the rectum.A second lesion with similar appearance is seen along the superior right aspect measuring 26 x 19 mm (4/32).Within the left uterine fundus (3/48) there is a 9 mm T2 hypointense intramural lesion, likely a fibroid. The ovaries are not identified.BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Hemangioma in the L5 vertebral body.OTHER: No significant abnormality noted.
Large, irregular shaped pelvic mass in the cul-de-sac and smaller, satellite mass with similar imaging characteristics. Imaging and enhancement characteristics are nonspecific but differential considerations include fibrous tumor of the adnexa (such as an ovarian fibrothecoma) or pedunculated, torsed fibroid.