Reason: On US pt was seen to have a 6x5x6mm lt ovarian lesion, concern is teratoma coausing paraneoplastic syndrome. History: pt with subacute on chronic neurocognitive decline (neuropsych syndromes years ago, now progressive dementia and dysphagia) PELVIS:UTERUS, ADNEXA: Nabothian cysts are present. There is a 8 x 4 mm left Bartholin's gland cyst.. Bilateral fat-containing inguinal hernias.The right ovary appears normal with several small follicles. There is a cyst in the left ovary measuring 5.5 x 4.1 x 4.5 cm (701/23, 901/13). No abnormal enhancement. No evidence of a teratoma as clinically questioned.BLADDER: Foley catheter. Air is present in the bladder.LYMPH NODES: Mildly enlarged inguinal lymph nodes measuring up to 1.0 x 0.9 cm on the right. Enlarged pelvic lymph nodes with an enlarged left external iliac node measuring 1.8 x 1.0 cm (701/15). Additional enlarged external iliac and obturator nodes are present.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of free fluid in the pelvis is likely physiologic
1.No dermoid cyst is identified.2.Simple appearing left ovarian cyst measuring up to 5.5 cm.3.Pelvic and inguinal lymphadenopathy is of uncertain etiology.