49-year-old female with left lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific hypodense lesions in the liver. Their etiology is unknown. MRI of the liver may be helpful for further evaluation. An index lesion in the left lobe adjacent to the falciform ligament measures 2.2 x 2.1 cm image number 40, series number 3.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Nonspecific borderline enlarged retroperitoneal lymph nodes. An index left para-aortic node measures 1 x 1 cm image number 84, series number 3.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: There is multiloculated cystic collections in the left adnexa associated with surrounding fat stranding. Left ovary cannot be seen separate from these collections. One of the large pockets in the level quadrant measures 5.7 x 2.8 cm image number 119, series number 3. Medial to the peripheral enhancing fluid collection, best seen on coronal images there is a multiloculated left adnexal mass measuring 8 x 6.3 cm image number 63.Right ovary is enlarged. There is a 2 x 1.3 cm hypodense focus within the lower uterus/cervix. The etiology is unknown.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: There is diffuse wall thickening of the sigmoid colon, best image number 107, series number 3. This may represent colitis.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Small amount of fluid in the pelvis.
Multiloculated fluid collections in the left lower quadrant associated with surrounding fat stranding. These findings may represent an abscess. Etiology is unknown. This may be a tubo-ovarian abscess versus an abscess secondary to sigmoid colitis or diverticulitis. An underlying ovarian neoplasm cannot be excluded.Enlarged right ovary.Nonspecific retroperitoneal borderline enlarged lymph nodes.Liver MRI with focal nodular hyperplasia protocol is recommended for further evaluation of the nonspecific hypodense liver lesions.