22 year-old female with left lower quadrant abdominal pain. Four days postpartum. Evaluate for TOA, diverticulitis with septic thrombophlebitis. 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: The uterus is enlarged and contains numerous air bubbles within the uterine cavity compatible with history of recent postpartum status. There is a uniloculated left ovarian cyst which measured 5.4 x 7.5 cm. Inferior to the cyst there is a smaller fluid collection in the left adnexa which may represent a fluid filled dilated fallopian tube. This may be evaluated further with transvaginal ultrasound and/or MRI. The findings are nonspecific, but can be seen with tubo-ovarian abscess or hydrosalpinx. There may be fluid in the right fallopian tube as well. Multiple small cervical cysts. BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Postpartum uterus. Large left ovarian cyst. Questionable fluid filled left fallopian tube may be further evaluated with transvaginal ultrasound and/or MRI, if indicated.