47 years, Female, Reason: solid mass seen in left adnexa on ultrasound PELVIS: FemaleUTERUS, ADNEXA: Anteverted retroflexed uterus. Intramural T2 hypointense lesion within the posterior uterus measuring 1.1 x 1.4 cm (4/23) likely represents an intramural fibroid.There is a minimally complex left adnexal cystic lesion with a single septation measuring 4.8 x 2.6 x 4.4 cm (5/30 and 3/13). There are no enhancing components to this lesion. An ovarian location is favored given the acute angles of the lesion in relation to the ovary and apparent "claw sign." However, a paraovarian cystic structure such as a hydrosalpinx is among the differential considerations. The left ovary is enlarged, likely due to aforementioned cyst, compared to the right measuring 4.6 x 2.6 cm. Additional small follicles are noted.No significant pelvic ascites.BLADDER: No significant abnormality notedLYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality noted
Minimally complex cystic lesion in the left adnexa with a thin nonenhancing septation and no suspicious solid or enhancing nodular components. An ovarian location is favored given the acute angles of the lesion in relation to the ovary and apparent "claw sign." However, a paraovarian cystic structure such as a hydrosalpinx is among the differential considerations. Correlation with prior ultrasound exams is recommended to assess for interval increase in size.