34-year-old female with lower abdominal pain for two weeks and elevated white blood cell count. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: There is a small, subcentimeter hypodense lesion in the body of the pancreas (series 3 image 43/162). Recommend follow up with MRI to further characterize this lesion.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Hypodense, well circumscribed lesion in the lower pole of the left kidney, likely a simple cyst and without clinical significance.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: There are two cystic lesions in the left adnexa with surrounding inflammation compatible with pelvic inflammatory disease. There may be a left sided tubo-ovarian abscess and it is recommended to follow-up with pelvic ultrasound to further characterize this lesion.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: There is fluid in the left paracolic gutter. BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1. There are two cystic lesions in the left adnexa with surrounding inflammatory changes consistent with pelvic inflammatory disease. There is also some concern for possible tubo-ovarian abscess and it is recommended to follow up with pelvic ultrasound to further characterize the left adnexa. 2. There is a small subcentimeter hypodense lesion in the body of the pancreas which should be followed up with MRI to further characterize its nature.