History of infertility and possibly uni-cornuate uterus on hysterosalpingogram. PELVIS:UTERUS, ADNEXA: Anteverted anteflexed uterus. It demonstrates a normal bicornuate morphology.The uterus measures 9.0 x 4.3 cm in the sagittal plane.The endometrial cavity is normal in thickness measuring 8 mm and demonstrates normal homogeneously hyperintense T2-weighted signal intensity.The majority of the inner myometrium/junctional zone measures up to 9 mm in thickness, above normal within the indeterminate range. There are regions of the inner-outer myometrial junction which are indistinct. Adjacent to the right anterior fundal/body aspect of the inner myometrium/junctional zone there is a poorly marginated T2 hypointense focus with small T2-weighted hyperintense cystic components measuring 2.4 x 1.7 cm (series 901/29) which may represent focal adenomyosis. There are no definite T1-weighted hyperintense foci to confirm hemorrhage from small ectopic endometrial glands.Additional 9 mm probable fibroid at the right fundus (series 701/24).Multiple cervical nabothian cysts are noted. The cervix, vaginal canal and parametrial soft tissues are otherwise unremarkable.The right ovary measures 3.0 x 2.4 cm it contains numerous follicles. The left ovary measures 3.4 x 3.1 cm and contains numerous follicles.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Trace simple appearing free pelvic fluid is within physiologic limits. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of a congenital mullerian duct abnormality.2.Suspected diffuse adenomyosis with focal adenomyomata I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.