MRI EXAMINATION OF THE PELVIS WITH AND WITHOUT CONTRAST

MRI EXAMINATION OF THE PELVIS WITH AND WITHOUT CONTRAST

INDICATION FOR STUDY:           625.9.  Prior CT from XXXXXXXX.  Hysterectomy.  Coccyx pain.  789.3.

FINDINGS:               The patient’s prior CT and ultrasound were reviewed.  There is a cystic mass in the pelvis.  It measures 4.2 x 2.5 x 3.1 cm.  This is seen on image 15 of series 102, image 16 of series 4, image 16 of series 103, and also various other sequences such as image 15 of series 2 and series 6 and 7.  This lesion appears well circumscribed.  It does appear as a simple cyst on MRI and shows no evidence of other solid mural nodule.  There is no significant complex nature within it.  This may represent a proteinaceous cyst.  It appears to abut against the left ovary region, but it is not far from the right ovary, but does appear separated from the right ovary.  The patient has had a hysterectomy and the lesion does abut against the region on the postsurgical changes towards the vaginal cuff.  There is no evidence of free fluid.  There is no adnexal lesion or mass otherwise identified or adenopathy.  The bowel loops are identified.  Post-contrast evaluation shows no significant abnormal enhancement.  The bladder is identified, but it is not significantly distended.

IMPRESSION:          Cystic mass identified as discussed above adjacent to the left ovary, which appears small in comparison and size.  There is no other significant abnormality in the pelvis or adenopathy.  There is no significant abnormal enhancement or mural nodule.  This may represent a proteinaceous cyst may be ovarian etiology.  Would recommend clinical correlation.  Would recommend reference to the patient’s prior examination reports.  Given its size, it is somewhat concerning and would recommend further evaluation as necessary.

Thank you for the referral.

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