76 year-old female history of pelvic carcinomatosis. PELVIS:UTERUS, ADNEXA: Heterogeneous and thickened endometrial cavity measuring up to 14mm. Multiple small intramural uterine fibroids.10 mm calcified right ovarian lesion. The right ovary is slightly abnormal appearing measuring 2.8 x 1.4 cm and corresponds to an area of increased FDG uptake on recent PET CT. The left ovary measures 1.7 x 1.5 cm and appears unremarkable..BLADDER: The bladder is collapsed.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is mild thickening of the visualized bowel, likely related to ascites.BONES, SOFT TISSUES: Diffuse sclerotic osseous metastases.OTHER: Moderate volume ascites.
1. Thickened and heterogeneous endometrial canal measuring up to 14 mm concerning for endometrial neoplasm.2. Slightly abnormal-appearing left ovary with internal calcified cystic lesion which corresponds to an area of increased FDG uptake on recent PET. This is nonspecific and should be evaluated with dedicated ultrasound.3. Moderate volume ascites.