21-year-old female patient with pregnancy of unknown location at 14 weeks. Ultrasound demonstrated possible cornual versus ectopic pregnancy. PELVIS:UTERUS, ADNEXA: The uterus is displaced to the right in the pelvis secondary to a large extrauterine mass measuring approximately 7.8 x 7.9 x 7.6 cm (image 139, series 6 and image 17, series 4) containing placenta and a fetus; compatible with an extrauterine ectopic pregnancy. A single endometrial canal and single cervix are identified. While there is a focal region of intermediate signal interposed between the cervix and the extrauterine pregnancy on T2 images (image 117, series 6), no definite communication is identified to the uterus or cervix. The right and left ovaries are identified and distinct.A round T2 hypointense lesion within the myometrium of the uterine body measuring 1.1 x 1.5 cm and a 1 cm lesion within the uterine fundus are compatible with fibroids.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is no significant free fluid in the pelvis.
1.Findings favored to represent an ectopic pregnancy within the left adnexa, however, a pregnancy within a truncated didelphic horn is not entirely excluded, but considered less likely. No significant free fluid in the pelvis.2.Uterine fibroids. 