48-year-old female with sacral mass precluding evaluation of the cervix PELVIS:UTERUS, ADNEXA: Displaced anteriorly by presacral mass described below. The endometrial canal is distended with small amount of fluid. There is an enhancing, partially cystic lesion in the lower uterine segment extending from the anterior wall measuring approximately 3.1 x 1.4 x 1.6 cm. Multiple T2 hyperintense cysts are noted in the cervix compatible with Nabothian cysts. No abnormal enhancement or mass of the cervix is noted. Junctional zone thickness and appearance is within normal limits. Small focus of T2 hyperintensity may represent focus of subendometrial tissue. Bilateral ovaries are normal in appearance.BLADDER: No significant abnormality noted.LYMPH NODES: Scattered bilateral subcentimeter external iliac and inguinal lymph nodes.BOWEL, MESENTERY: Visualized small bowel caliber is within normal limits without evidence of obstruction. The appendix is well visualized and within normal limits.BONES, SOFT TISSUES: Large, enhancing, well demarcated, pedunculated mass located in the rectouterine pouch measuring 8.4 x 8.5 x 11.4 cm extending from the right S2 neural foramina is compatible with pathologically proven neurilemmoma. This lesion is similar to slightly larger when compared to the prior examination. There is mass effect on the rectum without evidence of obstruction or invasion. There is mass effect on the uterus without evidence of invasion.OTHER: No significant abnormality noted.
1.No significant change in an enhancing, partially cystic lesion extending from the anterior wall of the lower uterine segment favored to represent a polyp. 2.Nabothian cysts are noted without evidence of suspicious masslesion of the cervix. 3.Stable to slight interval increase in size of pathologically proven sacral neurilemmoma as described above.