Female, 13 years old. Bleeding, vaginal mass. Assess for mullerian abnormality, imperforate hymen. PELVIS:UTERUS, ADNEXA: The vaginal vault is distended and filled with layering fluid, debris, and gas. A small amount of fluid extends into the cervix, but there is no significant fluid distending the uterine cavity. No significant surrounding inflammatory changes throughout the pelvis. The uterus is normal in size and configuration. Both ovaries are identified and appear normal. Trace pelvic free fluid is likely physiologic.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No specific evidence of bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Both kidneys are visualized and are grossly normal in size and position.
1.Hydrometrocolpos, most likely due to imperforate hymen.2.Otherwise normal appearance of the uterus and ovaries, without evidence of mullerian abnormality.