MRI EXAMINATION OF THE PELVIS WITH AND WITHOUT CONTRAST

MRI EXAMINATION OF THE PELVIS WITH AND WITHOUT CONTRAST

INDICATION FOR STUDY:           Ultrasound examination from XXXXXXXX showing changes consistent with fibroid, nabothian cyst, and ovarian cyst.  626.8.  Pelvic pain.  Vaginal bleeding.

FINDINGS:               Axial, sagittal, and coronal images were obtained on the Open MRI with and without I.V. contrast.  The evaluation shows a cyst in the right ovary, which measures approximately 3.5 x 3 x 3 cm.  There is no significant abnormal enhancing lesion, mass, or mural nodule.  The left ovary shows actually smaller cyst measuring up to 1.5–2 cm.  There is no significant free fluid in the cul-de-sac.  The remainder of the adnexal structures shows no gross abnormality and there is no significant enhancing lesion or mass.  In the uterus, there are changes consistent with a nabothian cyst, which measures approximately 8 mm.  There is slight irregularity in the uterus towards the cervix.  This though appears to most likely represent changes, which may represent a fibroid.  The endometrial canal noted in the body of the uterus shows no gross abnormality.  The changes that appear with slight irregularity are seen on image 10 of series 4.  There is no significant abnormal enhancing lesion or mass otherwise identified.  Would recommend clinical correlation.  If there is any further concern, would recommend further evaluation.  These changes noted in the uterus towards the cervix are also seen on image 14 of series 3.  The possibility of slight endometrial abnormality in this region cannot completely be excluded and would recommend clinical correlation.  The remainder of the pelvic evaluation shows no other significant adenopathy, mass lesions, free fluid, or abnormal enhancement.

IMPRESSION:          Right ovarian cyst measuring up to 3 cm, which appears simple in nature.  Small follicular cyst in the left ovary.  Small nabothian cyst measuring 8-9 mm.  Adjacent to the region of the nabothian cyst, there is slight irregularity at the endometrial canal of uncertain significance.  This may represent small amount of fluid within the endometrial canal.  There is no significant abnormal enhancing lesion or mass.  This also may represent changes in this region, which may represent a small fibroid also.  Would recommend clinical correlation or further evaluation as needed.

The remainder of the endometrial canal in the body of the uterus shows no gross abnormality.  There is no other significant adnexal lesion or mass.  Please see comments above.

Thank you for the referral.

XXXXXXXX