MRI
There is extensive compartmentalized ascites, with a thick enhanced peritoneum and bilateral convoluted tube-like structures inseparable from the uterus that show intense mucosal enhancement.
Multiple small enhancing omental nodules are noted.
The bowel loops appear matted to each other with edematous mesentery.
Both ovaries appear grossly unremarkable. The appendix measures about 0.6 cm and appears unremarkable. No apparent pelvic masses.
The uterus appears normal, with an endometrial thickness measuring about 0.4 cm.
The urinary bladder is unremarkable. The visualized skeleton appears normal.
Conclusion:
A large amount of ascites with enhanced peritoneum and bilateral salpingitis. The differential diagnosis includes tuberculous peritonitis or peritoneal carcinomatosis.