50 year-old female with generalized abdominal pain. History of ulcerative colitis. Evaluate for inflammatory bowel disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Right adrenal mass measures 2 x 3 cm in axial image 30/14 series 3. This is incompletely evaluated on the postcontrast study. Further evaluation with dedicated adrenal CT or MRI examination may be helpful for further characterization, if indicated.KIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The colon is ahaustral and the descending colon contains small amount of fluid within mucosal enhancement. The appearance is consistent with history of ulcerative colitis. Normal appendix in the right lower quadrant. The terminal ileum appears normal.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXAE: There is a central pelvic uniloculated fluid density cystic lesion which measures 7 x 8 cm in axial image 120/154 of series 3. This is most likely of adnexal origin. Bilateral adnexal cysts, larger on the left measuring more than 5 cm in diameter. If clinically indicated, transvaginal ultrasound examination may be helpful for further evaluation.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Ahaustral colon compatible with history of ulcerative colitis. No small bowel abnormality was identified. Central pelvic cystic lesion, probably adnexal measures 7 x 8 cm. Additional cystic lesions in the adnexae. Right adrenal mass.