Reason: Hx of urinary retention with known adnexal mass. Also with urethral lesions on cystoscopy. Eval for urethral mass. History: As above Please note that postcontrast images were not obtained due to low GFR.PELVIS:UTERUS, ADNEXA: Fat containing right adnexal lesion measures 4.6 x 3.5 cm in transverse dimension and 5.1 cm in craniocaudal dimension (601/30, 901/26), similar in size to the prior CT. Small nabothian cysts.BLADDER:There is been interval placement of a Foley catheter and decompression of the bladder. The kidneys are not visualized, however there is decreased ureteral dilatation compared to the prior CT.There is significant dilatation of the urethra with lobulated periurethral increased T2 signal measuring approximately 3.8 x 4.1 cm in transverse dimension (701/17) and 3.0 cm and craniocaudal dimension, possibly fluid. This abnormal signal extends from the proximal urethra inferiorly. There is a fistulous communication with the mid to lower vagina, which contains a small amount of fluid.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Significant urethral dilatation with lobulated periurethral increased T2 signal which is of uncertain etiology, neoplasm cannot be excluded. Postcontrast images were not obtained due to low GFR.2.There is fistulous communication between the anterior vagina and urethra.