68-year-old woman with history of left lower quadrant pain and uterine bleeding, evaluate for malignancy. ABDOMEN:LIVER, BILIARY TRACT: The liver and gallbladder appear normal. There is no intra or extrahepatic duct dilatation.SPLEEN: The spleen appears normal.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: There is a subcentimeter cyst in the superior pole of the left kidney, kidneys are otherwise normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The small bowel and colon are normal.BONES, SOFT TISSUES: Ventral abdominal surgical artifacts are noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: The right wall of the uterine body is not well-defined. Arising from the uterine fundus there is a 79 x 73 mm mass which appears to be subserosal and heterogeneous in signal containing mixed fluid and gas (series 1901, image 363). This mass does not significantly enhance. There is no evidence of fistulous communication with bowel.The vagina and cervix appear normal.BLADDER: The bladder appears normal.LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The rectosigmoid colon is normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Large uterine mass containing fluid and gas without visualized fistulous connection to bowel.