Female 38 years old status post sigmoid resection, cholecystectomy and appendectomy. History of stage IV endometriosis with right lower quadrant pain recurrent endometrioma on the right from outside imaging. PELVIS:UTERUS, ADNEXA: The right adnexa is not well defined. The left adnexa contains 3 lesions which are intermediate intensity on T1 and dark on T2-weighted images consistent with endometriomas. The largest measures 1.5 x 1.1 cm (image 23 of series 6). There is an additional 9 x 8 mm lesion in the right upper pelvis lateral to the sigmoid colon also consistent with endometrioma (series 12, image 42).BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: There is and thickening of the sigmoid colon wall (series 14, image 19) causing focal narrowing at this level and mild proximal sigmoid colonic dilatation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Endometriosis involving the right upper pelvis lateral to the sigmoid colon as well as the left adnexa.2.Thickening of the sigmoid colon wall results in narrowing at this level and mild proximal bowel dilatation. These findings may be secondary to endometriosis or postoperative change.