Acute CT scan
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The uterus is distended by the known endometrial carcinoma. There is also haematometra.
A relatively low attenuation left adnexal lesion is evident and cannot be separated from the left fallopian tube (as best depicted on the coronal images). The lesion is dilated and tubular in shape and has the attenuation value of complex fluid (average HU 35).
Overall appearances represent endometrial carcinoma complicated by haematometra and the development of left-sided haematosalpinx.