31-year-old female with pelvic mass. PELVIS:UTERUS, ADNEXA: Round, well-circumscribed mass with smooth borders demonstrating mildly heterogeneous T2 signal and homogeneous enhancement in the expected location of the uterus, presumably due to a uterine fibroid and measuring up to 8.3 x 7.5 cm (series 8/17); this mass is mildly increased in size since prior study in 2012. Again, this mass compresses the bladder and rectum. Uterine parenchyma is not well visualized, suggesting severe atrophy of unclear etiology given the patient's age. Both ovaries are not visualized.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Multiple bony exostoses with the largest extending from the left iliac wing, not significantly changed. Multiple nonspecific small sclerotic lesions in the visualized bones are not significantly changed since prior exam. A lesion within the superior left femoral head has mildly increased in size since prior study, and this lesion may be related to degenerative arthritic change (series 3/23).OTHER: Extensive artifact involving the lower lumbar spine and sacrum from orthopedic hardware.
1.Well-circumscribed pelvic mass is presumably a uterine fibroid and has mildly increased in size since 2012.2.Severe atrophy of the uterus and nonvisualization of both ovaries, as described above.3. Multiple nonspecific small sclerotic lesions are not significantly changed aside from mild increase in a superior left femoral head lesion, which may be degenerative in etiology. In light of the patient's extensive cancer history, bone scintigraphy may be helpful for further characterization if there is clinical concern for osseous metastatic disease.