Abnormal vaginal bleeding. Recent pelvic ultrasound concerning for arteriovenous malformation. PELVIS:UTERUS, ADNEXA: The uterus is normal in size and has an arcuate configuration. There is heterogeneous low T2 signal throughout the myometrium, but no focal mass lesion.The endometrium is normal in appearance. No evidence of retained products of conception or focal mass lesion. There is no dilatation of or fluid within the endometrial canal. The junctional zone is normal in thickness. There is some protrusion of the cervix into the vaginal canal. Layering dependently within a mildly dilated cervical canal is fluid with high T1 signal compatible with blood products. Note is made of a nabothian cyst.There are no abnormal flow voids within the uterus or vagina on the precontrast images. Postcontrast images show expected parametrial vessels without abnormal early venous drainage or other evidence of an arteriovenous fistula/malformation. The ovaries are normal in size and contain multiple simple cysts measuring up to 1.6 cm compatible with follicles.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No findings to suggest an arteriovenous fistula/malformation involving the uterus, cervix, vagina.2.Retained blood products with a mildly dilated cervical canal. There is no hematometra, but correlate with physical exam findings of cervical stenosis.