51 years, Female, Reason: h/o recurrent micropapillary borderline tumor of ovary, now with pain in left pelvis, r/o recurrence History: sharp pain in left pelvis, palpated mass at superior left vaginal cuff/left pelvic side wall. ABDOMEN:LIVER, BILIARY TRACT: Punctate T2 hyperintensity in the right hepatic lobe, likely a cyst (9/19).SPLEEN: Small splenule.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral subcentimeter renal cysts.RETROPERITONEUM, LYMPH NODES: Small scattered retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS: FemaleUTERUS, ADNEXA: There is a cystic lesion in the left adnexa which measures 3.7 x 2.7 x 5.1 cm and has nodular enhancing foci along the inferior aspect. This is increased in size from the prior ultrasound where it measured 1.5 x 1.4 x 1.2 cm.BLADDER: No significant abnormality noted.LYMPH NODES: Mildly enlarged left inguinal node with restriction on diffusion weighted imaging measures 1.3 x 1.3 cm (17/33).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cystic lesion in the left adnexa with a nodular enhancing component is suspicious for recurrent borderline papillary serous tumor and is increased in size from the prior ultrasound.2.Mildly enlarged left inguinal lymph node also suspicious for recurrence/metastatic disease.