Reason: 38yo woman with known grade 1 endometrial cancer s/p levonorgestrel IUD to decide between surgery and additional medical therapy. PELVIS:UTERUS, ADNEXA: The uterus is anteverted related and retroflexed in position and measures 9 x 5 x 7 cm (CC by AP by TR). The endometrial stripe appears homogeneous and measures up to 8 mm in thickness. The posterior junctional zone is mildly thickened measuring up to 14 mm.An intrauterine device is noted.There is a polypoid lesion arising from the posterior uterine body endometrium with reference measurements below. There is no associated gross invasion of the myometrium.The ovaries are normal in size and morphology and contain small cysts or follicles. The right ovary measures 2.4 x 2.8 x 2.3 cm. The left ovary measures 3.1 x 2.0 x 2.4 cm. No abnormal adnexal masses are identified.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Symmetric, mildly heterogeneous bone marrow signal intensity may reflect red marrow.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 9/20/2016 10:00:00)ENDOMETRIAL LESION: 1.1 x 0.8 cm (Image 15, Series 8).
1.Small endometrial polypoid lesion which may reflect polyp or endometrial hyperplasia/carcinoma without of gross myometrial invasion. No pelvic lymphadenopathy.2.Mild thickening of the posterior junctional zone which is nonspecific but can be seen with adenomyosis.