Female 27 years old with positive pregnancy test and right lower quadrant abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: Mild hepatomegaly measuring 17.5 cm in craniocaudal dimension. No focal hepatic lesion, biliary ductal dilatation or ascites. The gallbladder is normally distended without cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: The uterus measures 9.3 x 6.9 cm in the sagittal plane. The endometrial canal contains heterogeneous T2 hyperintense material and a small amount of T1 hyperintense material. The cervix is open and the heterogeneous T2 material is collecting within the distended vaginal canal where there is also a fluid-fluid level.The left ovary contains a corpus luteal cyst. The right adnexa is unremarkable.BLADDER: Mildly distended and normal in appearance.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The appendix is not well visualized but there are no secondary signs of acute appendicitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is a small amount of pelvic free fluid.
1.The appendix is not well visualized but there are no secondary signs of acute appendicitis..2.The cervix is open and the endometrial canal and vagina contain blood products from ongoing abortion.