31-year-old woman with history of uterine adenomyomatosis, C-section in 2006, now with left inguinal mass. PELVIS:UTERUS, ADNEXA: The margins of the uterine junctional zone are ill-defined and measures approximately 20 mm in thickness. Additionally, multiple small cysts are seen within the junctional zone. Postoperative findings of prior C-section are seen. The endometrial stripe appears normal. Prominent pelvic vasculature is noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A well marginated T2 hyperintense, T1 hypointense lesion in the lesser trochanter of the left femur is noted (series 5, image 32) measuring 13 mm. No soft tissue mass or lesion is identified in the visualized left inguinal region.OTHER: A small amount of pelvic free fluid is seen, likely physiologic.
1. Findings compatible with uterine adenomyomatosis.2. Nonvisualization of reported left inguinal mass.3. Probable aneurysmal bone or simple cyst of the left lesser trochanter.4. Prominent pelvic vasculature which may be seen in setting of pelvic congestion syndrome and/or multiparity, correlation with patient's clinical history and symptoms recommended.