History of polycystic ovarian syndrome and elevated DHEAS. Evaluate ovaries and adrenal glands. ABDOMEN:LIVER, BILIARY TRACT: The liver is borderline enlarged but has normal signal characteristic. Punctate focus of increased T2 signal in the right lobe liver without associated enhancement, likely a simple cyst. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: Spleen is normal in size.PANCREAS: The pancreas is normal in signal and morphology. The main duct is normal in caliber.ADRENAL GLANDS: The right adrenal gland is unremarkable. The left adrenal gland has questionable subtle nodularity, but no clear mass lesion. The glands are normal in size.KIDNEYS, URETERS: Subcentimeter left renal cyst. No mass lesion or hydronephrosis.RETROPERITONEUM, LYMPH NODES: No retroperitoneal mass lesion.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Anteverted retroflexed uterus which is normal in size. The endometrium and junctional zone are unremarkable.Moderately enlarged ovaries containing numerous similarly sized peripheral follicles consistent with the diagnosis of polycystic ovarian syndrome. There is an additional dominant follicle on the left measuring 14 mm. The right ovary measures 3.2 x 2.0 x 2.8 cm while the left ovary measures 4.3 x 1.9 x 2.9 cm.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: No significant abnormality noted.
1.Numerous peripherally positioned similarly sized follicles and moderately enlarged ovaries consistent with the diagnosis of polycystic ovarian syndrome.2.Essentially normal appearance of the adrenal glands.