43 year old female patient with pain in the recto-vaginal space. PELVIS:UTERUS, ADNEXA: A cystic lesion within the right adnexa measuring 2.0 x 2.8 cm likely represents a physiologic cyst in a premenopausal female. An ill-defined intermediate signal, non-enhancing round structure within the myometrium in the body of the uterus measuring 1.5 x 1.5 cm likely represents a fibroid. There is borderline thickening of the junctional zone, measuring up to 11 mm, with poor distinction of the myometrial/endometrial junction. There is arcuate morphology of the uterus.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No mass or fluid collection is noted within the rectovaginal space.
1. Findings highly suspicious of adenomyosis; correlate with prior ultrasound.2. Uterine fibroid and probable physiologic right adnexal cyst.