45-year-old female with persistent leukocytosis and abdominal pain This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: Bilateral small pleural effusions. Cardiomegaly. Dependent atelectasis in the left lung base. Trace pericardial effusion.LIVER, BILIARY TRACT: Nonspecific 1 cm hypodense lesion in the right lobe of the liver on image number 36 on series number 3. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral mild calyectasis. This is likely secondary to distended bladderRETROPERITONEUM, 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: There is a large lobulated mass arising from the pelvis and extending superiorly to the level of the kidneys. The mass is heterogeneous and measures 27 by 15 cm. This represent a large leiomyomatous uterus, however, possibility of an ovarian carcinoma cannot be entirely excluded with this noncontrast CT. Further evaluation with MRI is recommended.BLADDER: Bladder is displaced to the left and superiorly by the mass. Bladder is also distended. The mass likely causes bladder outlet obstruction.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Bilateral IVC filter is in the common iliac veins.
Large pelvic mass extending superiorly to the level of the kidneys. This likely represents leiomyomatous uterus versus ovarian carcinoma. Further evaluation with pelvic MRI is recommended.Bladder obstruction and bilateral mild calyectasis.Cardiomegaly and bilateral small pleural effusions.