67-year-old woman with history of vaginal pain, urinary incontinence, and vaginal fullness. PELVIS:UTERUS, ADNEXA: No uterine or adnexal mass is identified. A 9 x 6 mm simple cystic focus in the left lower vagina (series 901, image 15) is likely a Bartholin's gland cyst.BLADDER: The bladder appears normal. There is a multilobulated 19 x 16 mm T2 hyperintense lesion surrounding the left posterolateral aspect of urethra (series 1101, image 15). This lesion appears to communicate with the 7:00/right posterolateral aspect of the urethra (series 1301, image 161).LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The partially visualized small bowel and colon are normal.BONES, SOFT TISSUES: Small injection granuloma noted in the anterior lower right abdomen.OTHER: No significant abnormality noted.
Multilobulated "saddlebag" urethral diverticulum with possible communication at the 7:00/right posterolateral aspect of the urethra.