MRI EXAMINATION OF THE PELVIS WITH AND WITHOUT CONTRAST

MRI EXAMINATION OF THE PELVIS WITH AND WITHOUT CONTRAST

INDICATION FOR STUDY:         Previous C-section.  Abnormal ultrasound from xxxxxxxxxxx.

FINDINGS:               Multiplanar and multisequence imaging was obtained on the 1.5 Tesla GE MRI with and without contrast.  There are changes consistent with most likely a small seroma in the anterior abdominal subcutaneous soft tissues seen on image 14 of series 2 measuring approximately 2 cm in length and 6 mm in diameter.  This is also seen on image 12 through 14 of series 6.  The uterus itself shows no significant abnormality.  The adnexal regions also appear without gross abnormality.  There is no significant abnormal enhancing lesion, mass, adenopathy, or free fluid.  There is adjacent to the uterus at the anterior aspect between the uterus and the bladder and towards the region of the cervix along the outer aspect two areas, which are of uncertain significance.  These areas appear to be along the lines of the patient’s surgical scar most likely at the C-section.  Both these lesions are adjacent to each other.  One measuring
1.5 x 2 cm seen on image 15 of series 3 and the second one measuring approximately
1.4 x 1.4 cm seen on image 11 of series 3.  Both are well circumscribed and walled-off.  They abut against the uterine wall.  There is a fat plane separating this from the bladder.  These most likely represent a postsurgical change.  They do not clearly represent fluid completely and may represent small seromas, which are somewhat hemorrhagic in nature.  Other etiologies cannot completely be excluded.  The possibility of slight amount of fat within these lesions cannot be excluded.  There is no clear evidence of other significant abnormality or abnormal enhancement to these lesions.  Would recommend clinical correlation.  A preliminary report was given.

IMPRESSION:         In the anterior abdominal wall, there appears to be small fluid collection, which is well circumscribed and walled-off and most likely represents a small seroma.  There are also two areas adjacent to each other anterior to the uterus at its lower aspect between the uterus and bladder as discussed above.  These most likely represent postsurgical change and would recommend clinical correlation.  There is no other significant abnormal enhancing lesion or mass.

The uterus itself appears without gross abnormality and the endometrial canal shows no significant abnormality.  These changes are best seen on the sagittal T2 weighted images on series 3.

Thank you for the referral.

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