There is asymmetric, unilateral right labia majora / vulval enlargement. There is a discrete unilateral mass lesion identified within the right labia majora with extension and involvement of the superior perineum. The lesion is isointense to the muscle, remaining of low signal intensity on T1 and T2 imaging. It remains low signal intensity on STIR imaging.
There are no lipomatous or cystic components present. There is fairly homogeneous enhancement post-contrast administration. The mass measures at least 3.54 x 1.82 x 5.19 cm's (W X AP X CC) There are no flow voids or phleboliths. The lesion remains right of the midline. There is no intrapelvic extension.There is no bony infiltration or regional occult metastases.
There is benign bilateral inguinal lymphadenopathy. The bladder and uterus are normal.
The visualised bowel appears normal.