Reason: 43 year old G1P0 (31w3d gestation) otherwise healthy female who presents today with newly diagnosed desmoid tumor of the lower left abd. Questions: Does it invade uterus? Can we map edges? History: abdominal pain/pressure PELVIS:UTERUS, ADNEXA: Gravid uterus. Please note that this exam is not optimized for fetal evaluation. Multiple T2 hypointense subserosal, intramural, and submucosal fibroids are noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is a large, homogeneous, well-circumscribed mass arising anterior to the abdominal wall in the subcutaneous soft tissues aerated measures approximately 1.7 x 1.1 x 1.3 cm (series 5, image 23; series 20, image 40), compatible with stated history of desmoid tumor. There is thinning and loss of homogeneous T2 signal in the subjacent musculature of the anterior abdominal/pelvic wall and uterine serosa, best seen on series 6, image 38, concerning for invasion. This spans approximately 9 cm as seen on axial sequences. Small amount of fluid is seen in the rectus sheath superior to the lesion.OTHER: Bartholin's gland cyst is noted.
1.Gravid uterus. Exam is not optimized for fetal evaluation, and no diagnostic assessment regarding the fetus is made.2.Mass arising from the anterior subcutaneous soft tissues of the pelvis is compatible with stated history of desmoid tumor, with possible focal invasion of underlying uterus, see discussion above.