74-year-old woman with history of endometrial hyperplasia seen 5 years ago, now with uterine wall abnormalities seen on ultrasound. PELVIS:UTERUS, ADNEXA: There is a large, masslike area of decreased T2 signal in the transitional zone of the uterus measuring approximately 48 x 47 mm (series 601, image 26) and involving greater than 50% of the myometrium. There is portion of this lesion which appears to extend through the serosal surface and abuts the sigmoid colon (series 601, image 20), however the sigmoid colon does not appear to be invaded. This masslike area demonstrates mild enhancement. The endometrial stripe is obliterated towards the fundus.The cervix and vagina appear normal.The ovaries appear normal.BLADDER: Bladder appears normal.LYMPH NODES: Multiple, mildly enlarged pelvic and retroperitoneal lymph nodes are noted (series 701, images 31/50/58) and enhance on postcontrast sequences.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mass of the uterine fundus which obliterates the endometrial canal, extends through the serosa, and abuts the sigmoid colon.2. Mild lymphadenopathy in the pelvis and retroperitoneum.