42-year-old woman with history of pelvic swelling and mass. This examination is mildly limited by patient's body habitus.PELVIS:UTERUS, ADNEXA: The patient has multiple, large T2 and T1 hypointense subserosal and intramural masses measuring up to 61 x 53 mm (series 901, image 14). The endometrial canal is distorted.A mass along the left posterior body of the uterus (series 501, image 48) is again seen with high T2 signal but low T1 signal. This mass is unchanged in size and measures 59 x 54 mm, previously 58 x 54 mm.There are multiple T1 hyperintense, T2 hypointense lesions in the right adnexa measuring 85 x 44 mm (series 1301, image 513) and 61 x 39 mm (series 1301, image 48).BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The rectosigmoid colon is seen displaced by the uterine masses (series 501, image 48), however with intact fat plane and without evidence of invasion.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Right adnexal lesions, not significantly changed, representing endometriomas versus cystic ovarian neoplasms.2.Mass posterior to the uterine body which is unchanged but may represent degenerating leiomyoma versus cystic ovarian neoplasm.3.Fibroid uterus.