Clinical information: Known endometriosis and adhesions
Findings: The uterus is anteverted and anteflexed. It measures 10.6 cm in craniocaudal dimension, 4.6 cm in AP dimension. There is no myometrial abnormality. Normal endometrium and cervix.
The left ovary lies in the left upper pelvis and the right ovary lies against the right pelvic side wall both contain
several small follicles. No endometrioma is present.
There is slight smooth hypointense fibrotic thickening along the posterior surface of the posterior vaginal
fornix. There are a couple of thin adhesions between the rectum and the posterior uterine surface. There is no
muscle invasive rectal or sigmoid nodule.
No focal bladder lesion or bladder nodule. There is no distal ureteric dilatation.
There are no enlarged pelvic nodes. No significant pelvic free fluid.
In the upper abdomen, this the liver, spleen, pancreas and kidneys are normal.
Conclusion: No adenomyosis. No visible endometrioma. Linear fibrotic thickening along the posterior vaginal
fornix and some posterior compartment adhesions but there is no visible muscle invasive rectal or sigmoid
disease. Normal appearance of the bladder