48-year-old female with bilateral complex ovarian masses with pelvic pain, suspect endometriosis PELVIS:UTERUS, ADNEXA: Predominantly cystic left adnexal mass with enhancing septa has increased in size when compared to the prior exam now measuring 9.8 x 8.8 cm. The mass displaces the uterus to the right. A left ovary is not differentiated from this mass.A conglomerate mass in the right adnexa with predominantly solid enhancing tissue and tubular structures which may represent the fallopian tube. This conglomerate has intermediate T1 and T2 bright signal measuring 7.4 x 4.3 cm.A probable fibroid is noted within the posterior wall of the uterus.BLADDER: No significant abnormality noted.LYMPH NODES: Enlarged bilateral inguinal lymph nodes with the largest measuring 2.1 x 1.9 cm in the left inguinal chain. BOWEL, MESENTERY: There is mild tethered appearance to the anterior portion of the sigmoid colon which may reflect adhesive disease related to the pelvic pathology.BONES, SOFT TISSUES: Probable lipoma in the posterior left iliac wing.OTHER: Susceptibility artifact caused by metallic object in the subcutaneous tissue of the midline abdomen.
1.Bilateral adnexal masses as described above have increased in size since prior exam. Although findings may represent inflammatory disease with adhesions, malignancy is not excluded. Imaging features are not supportive of endometriosis.