CT - CT abdomen and pelvis
Axial C+ portal venous phase
Coronal C+ portal venous phase
Sagittal C+ portal venous phase
3D
Sizable well circumscribed lower abdominal lesion is seen measuring about 9 x 7 x 8 cm in maximum dimensions. It shows heterogeneous non-specific appearance with multiple air bubbles (spongiform appearance) and hyperdense markers.
It is adherent/inseparable from the uterine fundus and the left adnexa which is enlarged (5 x 3.8 cm). This is associated with wall thickening of the sigmoid colon coupled with marked peri-colonic inflammatory fat stranding. IUCD is noted in a proper position.