Female 32 years old Reason: anterior vaginal wall cyst- rule out urethral diverticulum History: no symptoms- seen on exam PELVIS:UTERUS, ADNEXA: Note is made of a bicornuate bicollis uterus. There is a 3.1 x 1.6 cm T2 hyperintensity located in the anterior vaginal wall. The epicenter of the lesion is superior to the urethra and there is no definite connection to the bladder or urethra to suggest a diverticulum. The appearance is more suggestive of a Gartner duct cyst. Additional subcentimeter cysts identified within the lower cervix are also suggestive of nabothian cysts.Multiple ovarian follicles are noted. There are cystic lesions in the right adnexa, the largest measuring 3.9 x 2.4 cm, may represent a paraovarian cysts or peritoneal inclusion cysts. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cystic lesion in the superior vagina vault which is most consistent with a Gartner duct cyst.2. Paraovarian cyst versus peritoneal inclusion cyst formation in the right adnexal area.