Female 30 years old with abdominal wall desmoid. Evaluate for progression/recurrence. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and morphology. There is no suspicious liver lesion. The gallbladder is normally distended without cholelithiasis. There is no biliary ductal dilatation. The hepatic vasculature is patent.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A subcentimeter T2 hypointense focus with minimal to no enhancement along the left ventral abdominal wall at the level of the mid kidney measures 8 x 5 mm (series 6, image 38). Comparison is difficult due to differences in technique however the lesion previously measured up to 15 mm and appears to decrease in size. No new lesions are identified.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: The uterus is retroverted. Multiple follicles are seen in both ovaries with a dominant left follicle measuring up to 2.5 cm, likely physiologic.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is trace pelvic free fluid.
The lesion in the left anterior abdominal wall (at the level of the mid kidney) appears to have decreased in size since the previous outside exam accounting for differences in technique, this could represent scarring or residual desmoid. No new lesions are identified.