Female; 49 years old. Reason: uterine anomaly seen on ultrasound. Need MRI to determine exact anatomy and if also has renal anomaly. Abdomen:LIVER, BILIARY TRACT: No significant abnormality noted.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: Ventral abdominal wall hernia containing mesenteric fat. Pelvis:UTERUS, ADNEXA: The uterus demonstrates two horns; morphology is borderline between septate and bicornuate uterus but favor bicornuate uterus. No suspicious adnexal lesions. Numerous subcentimeter T2 hyperintense lesions throughout the uterine wall likely represent adenomyosis. Heterogeneous lesion adjacent to the right uterine wall with larger T2 hyperintense cystic areas is suggestive of a focal adenomyoma, but could also represent a degenerated fibroid (series 19, image 11). There is a mildly T2 hyperintense mass located within the endometrial cavity and right uterine horn that demonstrates gray signal on T1 weighted sequences and measures 3.8 x 2.7 cm, best seen on series 19, image 12. This lesion extends to the level of the lower uterine segment and may also extend into the left uterine horn, but does not transgress the myometrium to the serosal surface. BLADDER: No significant abnormality noted.LYMPH NODES: No significant pelvic lymphadenopathy. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.BIcornuate uterus containing soft tissue mass of intermediate signal intensity as described above, which does not appear to extend into the myometrium. Findings are suspicious for endometrial carcinoma.2.Uterine adenomyosis with focal adenomyoma vs degenerated fibroid. 3.No structural renal anomalies identified as clinically questioned. 