Female 56 years old with postmenopausal bleeding. Assess for change in right ovarian cyst. PELVIS:UTERUS, ADNEXA: The uterus is anteverted and measures 9.4 x 4.1 cm in the sagittal plane. Endometrial thickness is normal. The inner myometrium/junctional zone measures up to 10 mm (series 7/43). The junctional zone/inner myometrium and outer myometrial junction is heterogeneous and poorly defined as on the previous exam. A few punctate foci of T1 and T2 hyperintensity within the junctional zone are more clearly seen on today's study. A 9 mm subserosal anterior uterine body fibroid is not significantly changed (series 9/17). A 1.6 x 0.9 cm intramural fibroid in the uterine fundus is better seen on today's exam (series 8/31).The cervix and vagina are normal in appearance and are without abnormal enhancement.The left ovary measures 1.9 x 0.9 cm (series 5/30) and is without focal lesion.The right adnexa measures 7.9 x 7.1 cm (series 4/21) and is predominantly comprised of a 7.0 x 6.2 cm (series 4/23) T2 hyperintense lesion with smooth, thin wall enhancement. There is no internal nodularity, septation or enhancement. The lesion size has increased (previously 5.9 x 5.2 cm) but the imaging characteristics are unchanged.BLADDER: The urinary bladder is decompressed and without focal abnormality.LYMPH NODES: No pelvic or inguinal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.The right adnexal cystic lesion has increased in size with a current maximal dimension of 7.9 cm. There is no internal complexity2.Mild myometrial heterogeneity with a few punctate T1 and T2 hyperintense foci. While the junctional zone is not thickened, this finding is suggestive of adenomyosis.