History of persistent pelvic pain after vulvar surgery. PELVIS:UTERUS, ADNEXA: There are multiple ovarian follicles bilaterally which are peripherally distributed, unchanged from the prior. The right ovary measures 3.8 x 2.1 cm, the upper limits of normal. The left ovary measures 2.4 x 1.8 cm. These findings are likely physiologic for this patient but may be seen in the setting of polycystic ovarian syndrome or ovarian hyperstimulation syndrome.IUD is noted. The endometrial thickness is normal as is the junctional zone.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Trace pelvic free fluid is within physiologic limits.BONES, SOFT TISSUES: There are small Bartholin cysts bilaterally with the larger left-sided one measuring up to 6 mm.OTHER: No significant abnormality noted.
No specific findings to account for the patient's persistent pelvic pain. See additional findings above.