69-year-old postmenopausal woman with history of thickened endometrial stripe. PELVIS:UTERUS, ADNEXA: The uterus is retroflexed. The anterior body uterine wall is thickened focally with areas of increased T2 signal internally (6/27). Additionally, there are small areas of increased T1 and T2 hyperintensity, possibly hemorrhage from recent biopsy. This focal, masslike thickening measures 20 x 19 mm in cross-section and mildly enhances. Additionally, there are smaller, punctate areas of increased T2 signal within the lower uterine segment myometrium. Nabothian cysts noted.There is a 36 mm septated left ovarian cyst without nodularity or areas of enhancement.BLADDER: The bladder appears normal.LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Focal mass in the anterior uterine body with imaging features suggestive of adenomyosis. Although this would be atypical in a postmenopausal patient, there are additional secondary findings in the uterus to suggest this diagnosis. A focal neoplasm can also be considered. Please correlate with the clinical history and hormone use.2.2.6 cm left ovarian cyst, likely a serous inclusion cyst. Please follow as clinically warranted.