77-year-old female with pelvic mass/fluid seen on pelvic ultrasound. PELVIS:UTERUS, ADNEXA: Mild atrophy of the uterus. 13 mm T2 hypointense fibroid is seen within the myometrium at the fundus series (901/33).There has been significant interval decrease in previously seen pelvic free fluid, presumably hemorrhage, since on prior CT on 5/6/2015. Abutting the left posterolateral aspect of the lower uterine segment, there is an ovoid lesion measuring up to 2.4 x 1.6 cm (series 801/48) which demonstrates T1 hyperintensity, T2 shading with low signal rim, and questionable minimal enhancement. This lesion is separate from the left ovary, which is felt to be visualized more superiorly. Overall, this lesion is felt to represent a small residual hematoma.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Right perineal T2 hyperintense cystic lesion measuring 8 mm (series 801/21), most likely a Bartholin's gland cyst. A left sacral neural foraminal Tarlov cyst is noted (series 801/60).OTHER: No significant abnormality noted.
Interval decreased pelvic free fluid, presumably hemorrhage, with left pelvic lesion likely representing a small residual hematoma, as detailed above.