Female 38 years old 10 weeks from repeat cesarean delivery with persistent left lower quadrant abdominal pain; evaluate for abscess, fluid collection or ventral hernia. PELVIS:UTERUS, ADNEXA: Susceptibility artifact along the anterior lower uterine segment and ventral wall soft tissues is consistent with the history of recent cesarean section. The uterus is normal in size and contour. A few follicles are seen within each ovary. No adnexal mass.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No free or loculated pelvic fluid. The visualized bowel is normal in caliber. Normal appendix.BONES, SOFT TISSUES: Susceptibility artifact in the lower anterior pelvic wall is related to recent cesarean section. No hernia is seen.OTHER: Note is made of a sacral Tarlov cyst.
MRI pelvis study showed:1.No pelvic fluid collection or abscess.2.No abdominal wall hernia.3.Expected postsurgical changes of recent cesarean section.