Patient with known endometriosis.
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Uterus is anteverted, measures 8.0 x 3.4 x 3.6 cm (CC x AP x TR). Normal junctional zone. Normal endometrium with thickness of 6 mm. Two intramural fibroids seen in posterior wall largest 9.4 x 6.6 mm. 9 mm anterior wall subserous fibroid.
Right ovary is adherent to right lateral uterine wall, is replaced by a cyst of size 5.4 x 6.5 x 6.8 cm (120 cc). Cyst shows T2 shading with hyperintense T1 signal. No mural nodules. Smooth walls. Thin smooth internal septum. No post contrast enhancement.
Left ovary is adherent to left lateral uterine wall, shows a cyst that measures 3.2 x 4.0 x 4.5 cm, (28 cc). Cyst shows T2 shading with hyperintense T1 signal. No mural nodules. Smooth walls. No post contrast enhancement.
Moderate free fluid in pouch of Douglas. No pelvic lymphadenopathy. Normal pelvic bones. No other pelvic deposits.
Bilateral endometriotic cysts (right larger than left). Both ovaries are independently adherent to the uterus.
Two posterior intramural and one anterior subserosal uterine fibroid.
Moderate pelvic free fluid.
No other pelvic or abdominal deposits.
Endometriosis can result in recurrent cyst formation in ovaries, as in this case with T2 shading typical of the recurrent hemorrhage. Ovaries tend to adhere to uterus. Always look for other pelvic endometriotic deposits. They are horrible to have if one has not conceived yet, as they distort the fallopian tubes.