49-year-old female. Fibromatosis. Ovarian cysts. Evaluate for progression. ABDOMEN:LIVER, BILIARY TRACT: Mildly T2 hyperintense arterially enhancing lesions in segment 2 and 7 of the liver that retains contrast on delayed imaging, unchanged and most likely benign, possibly FNHs. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mass abutting the inferior aspect of the pancreatic body measures 7.1 x 4.3 x 7.7 cm, previously 7.1 x 5 x 7.7 cm (series 1002, image 41). Again, the mass is noted to encase and attenuate the SMV and SMA, which remain patent.BOWEL, MESENTERY: Two broad-based ventral hernias in the central and right abdomen containing unobstructed bowel loops.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Compared to 2013 MRI, some of the multiple uterine masses have increased in size. Most of these masses have signal characteristics consistent with fibroids with the exception of a 5.5 x 3.9 cm well-defined T2 intermediate signal intensity lesion at the right aspect of the uterine fundus, which is indeterminate (series 13, image 37; previously measured 4.1 x 2.9 cm on 3/2013 MRI). Multiple nabothian cysts are noted, some with fluid-fluid levels.The endometrial cavity is distended to 1.8 cm in AP diameter, which is likely related to menstruation in a premenopausal woman.Bilateral ovarian cystic foci are most likely physiologic follicles; the largest follicle is in the left ovary measuring 3.7 cm. No internal septations or enhancing mural nodules to suggest malignancy.Trace free pelvic fluid.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: Small right Bartholin cyst.
1.Slight decrease in size of patient's known mesenteric based desmoid tumor.2.Indeterminate right fundal uterine mass, which has slowly increased in size from 3/2013. Further evaluation with pelvic ultrasound is recommended.3.Bilateral cystic foci in the ovaries are likely physiologic follicles.