35 years, Female, Reason: possible urethral diverticulum and hematuria History: hematuria. PELVIS: FemaleUTERUS, ADNEXA: A tampon is present within the vagina. There is a left-sided nabothian cyst.There is a multiseptated cystic along the left anterior aspect of the vagina, posterior to the urethra which measures 1.4 x 1.1 x 5.1 cm (5/21 and 8/33). This lesion extends above the origin of the urethra. No definite communication with the urethra is identified, however, evaluation is limited due to lack of intravenous contrast.BLADDER: There is a punctate cystic foci along the left anterior aspect of the urethra (5/15) without definite communication.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1.Cystic lesion between the bladder and urethra which extends above the origin of the urethra. No definite communication with the urethra is identified, however evaluation is limited due to lack of intravenous contrast. At this point, differential diagnosis includes a Gardner duct cyst or a urethral diverticulum, with a Gardner duct cyst favored. However, it is recommended that the patient return for post contrast sequences as this may be helpful.2.Punctate cystic foci adjacent to the distal urethra without definite communication is nonspecific.