29 year-old female with infected OB incision. Question of endometritis. Abdominal pain in both lower quadrants. The examination is limited by the absence of oral contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Postpartum uterus with air in the fundus. No definite findings to suggest endometritis, but pelvic ultrasound or MRI examination may be more helpful, if clinically indicated.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: There are midline surgical skin staples in the pelvis with subcutaneous fluid collection most likely due to a wound abscess which extend from axial image 103 -- 125/154 of series 3. The fluid collection is all superficial to the rectus sheath.
Midline subcutaneous wound abscess in the pelvis does not extend beyond the rectus sheath. Small amount of air in postpartum uterus, probably post procedural.