35-year-old female with left lower quadrant and abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is gallbladder sludge versus cholelithiasis. No definite evidence of cholecystitis.SPLEEN: 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, ADNEXAE: The uterus is enlarged and there is a central fundal mass which measures 5.6 x 6.4 cm, most likely due to a fibroid, at axial image 114/157. There is a larger anterior and superior central pelvic mass extending from the uterus which appears circumscribed with a thickened wall that measures 8.2 x 10 x 14.3 cm on axial image 91/157 of series 3 and coronal image 67/100. This mass contains fluid and central fat density. There are peripheral calcifications best seen at axial images 86 - 87/157 and coronal image 57/100. These findings suggest the presence of a mature cystic teratoma. Further evaluation with transvaginal ultrasound and/or MRI may be helpful, if indicated.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: A small amount of pelvic free fluid is present.
Central pelvic mass(es) as probably consisting of a fibroadenoma and teratoma, as described above. Further evaluation with transvaginal ultrasound and/or MRI may be helpful, if indicated.Cholelithiasis without cholecystitis.