53-year-old female with history of neoplasm of the endometrium. Evaluate.Pathology results 7/16/2015 of endometrial biopsy demonstrating endometrial carcinoma. PELVIS:UTERUS, ADNEXA: Large T1 and T2 heterogeneous uterine mass measuring 14 x 10 cm (series 601, image 57), not significantly changed. Additionally, there is a multiseptated large fluid containing mass which appears to arise from the left adnexa. This mass demonstrates components which are T2 hyperintense and T1 hypointense compatible with fluid. Additionally, there are small components which are T1 hyperintense and T2 hypointense consistent with blood products. This lesion measures approximately 14 x 9 cm (series 601, image 43). The septations demonstrate contrast enhancement. This mass was retrospectively seen on the February 2015 CT and appears to have mildly increased in size.The normal right ovary is suggested on series 601, image 50.BLADDER: No significant abnormality noted.LYMPH NODES: Prominent pelvic sidewall and external iliac lymph nodes bilaterally are unchanged compared to the previous CT examination.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large heterogeneous uterine mass is not significantly changed.2.Multiseptated large complex fluid containing mass favored to arise from the left adnexa as detailed above, may be related to patient's known large endometrial malignancy versus separate ovarian primary neoplasm.3.Bilateral pelvic sidewall and external iliac lymph nodes are unchanged compared to the recent CT examination.