Reason: possible urethral diverticulum History: dribbling, suburethral mass PELVIS:UTERUS, ADNEXA: The uterus is anteverted and anteflexed and is normal in size with reference measurements below. There are several round areas of low attenuation within the myometrium compatible with uterine fibroids. The largest is intramural/subserosal in the right anterior uterine fundus with reference measurements below.No adnexal masses are identified.BLADDER: Bladder is incompletely distended but grossly within normal limits.There is a crescentic fluid-containing structure (with "saddlebag" type configuration) along the posterior and left aspect of the urethra with reference measurements below compatible with a urethral diverticulum.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 9/23/2016 14:56:14)UTERUS: 7.4 x 4.1 cm (Image 48, Series 501); 4.0 cm (Image 46, Series 601).UTERINE FIBROID: 2.0 x 2.2 cm (Image 52, Series 501).URETHRAL DIVERTICULUM: 2.6 cm (Image 42, Series 501); 2.5 x 1.1 cm (Image 29, Series 601).
1.Fluid-containing structure inseparable from urethra, appearance compatible with a urethral diverticulum particularly given patient's clinical history.2.Several uterine fibroids.