History of ovarian cancer presenting with a palpable inguinal mass. PELVIS:UTERUS, ADNEXA: The uterus contains numerous fibroids. The largest is arising from the left aspect of the fundus in a subserosal location. There is redemonstration of a submucosal nodule along the posterior aspect of the endometrial canal (series 801 image 26). This remains indeterminate in appearance but could represent a submucosal fibroid, but a polyp is an additional consideration.The left ovary is surgically absent. There is redemonstration of a left hydrosalpinx which is perhaps slightly smaller when compared to prior.There are 2 focal cystic structures one in the left adnexa (series 801 image 21) the other in the presacral soft tissues (series 801 image 1) which given the patient's operative history likely reflect peritoneal inclusion cysts.Right ovary is normal in size containing several small follicles. The dominant cyst has crenulated peripheral enhancement compatible with a corpus luteum.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is loculated fluid within the right inguinal canal without associated enhancement or nodularity. This appears similar to outside hospital CT from 11/19/2013. This presumably correlates with the patient's palpable inguinal mass.OTHER: Moderate volume of free fluid within the pelvis which is slightly decreased when compared to prior.
1.Loculated fluid in the right inguinal canal without associated nodularity or enhancement appears similar to prior CT from 11/19/2013 and presumably correlates with the patient's reported palpable inguinal mass.2.Multiple pelvic findings presumably related to prior surgery including absence of the left ovary and presence of left hydrosalpinx and simple cysts which presumably reflect peritoneal inclusion cysts (large dominant cyst seen on prior MRI improved in size).3.Indeterminate submucosal lesion in the lower uterine canal which may reflect a submucosal fibroid or endometrial polyp. Malignancy is considered less likely given the stability but correlation with patient's history recommended and tissue sampling should be pursued as clinically indicated.4.Multiple uterine fibroids.