Reason: pt with newly diagnosed endometrial cancer, endocervical mass noted History: vaginal discharge PELVIS:UTERUS, ADNEXA: There is a T2 intermediate signal lesion distending the endometrial cavity, the proximal to the internal os measuring 1.6 x 1.5 cm in transverse dimension (901/21) and 2.5 cm in longitudinal dimension (701/21). There is 6 mm myometrial invasion into the posterior uterine musculature (less than 50%) as well as minimal anterior invasion (701/22). The lesion abuts the internal os, with a small amount extending into a region of extensive nabothian cysts.Multiple peripheral follicles bilaterally.BLADDER: No significant abnormality noted.LYMPH NODES: Small bilateral subcentimeter external iliac nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Lesion within the endometrial cavity with myometrial invasion (less than 50%) likely corresponds to patient's known endometrial cancer. The lesion abuts the internal os with a small amount extending into a region of extensive nabothian cysts, likely representing cervical invasion.2.Small subcentimeter pelvic lymph nodes are nonspecific.3.Multiple bilateral peripheral follicles are suggestive of polycystic ovaries. Correlate for history of polycystic ovarian syndrome.