72-year-old female with adnexal mass seen on CT and ultrasound. Evaluate adnexal mass. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions are noted. Mild intra and extra hepatic biliary prominence. The common bile duct tapers smoothly to the level of the ampulla without evidence of lesion or mass.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Asymmetric prominence of left breast tissue.PELVIS:UTERUS, ADNEXA: There is a large left adnexal nonenhancing lesion demonstrating T2 hyperintensity, T1 hypointensity, and measuring 7.1 x 6.5 x 5.4 cm. There is a thin nonenhancing septation within this adnexal lesion.T2 heterogenous, heterogeneously enhancing subserosal uterine lesion, likely a fibroid.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.Large left adnexal cystic lesion without suspicious features measuring approximately 7 cm. Thus, this favors a benign ovarian neoplasm. Consider gynecological consultation.2.Uterine fibroid.3.Asymmetric prominence of left breast tissue is noted. Correlation with recent mammography is recommended.