Can anyone tell me if this mri finding would be the cause of my pain
Help! I have had sudden onset of urinary frequency and pain that started 6 weeks ago right above my pubic bone slightly to the left side. That happened for a few weeks then I started having some uncomfortable bladder sensations like it was more uncomfortable to hold my urine even though I could if I needed to. Sometimes it feels like a knife is up inside me. Sometimes there’s general burning down there. No major burning when going to the bathroom. My right leg also has been feeling pain/heavy feelings that I usually get only when I’m on my cycle with cramps etc. but now it’s everyday. Ive had negative urine cultures had one round of antibiotics after a pcr urine test but it didn’t change anything for my symptoms. I now have a “small” amounts of blood in my urine on a urine analysis. No doctor has addressed this finding. Most nights the pelvic pain is so bad it keeps me awake and nothing helps. Urology suggested interstitial cystitis but I’ve never had bladder symptoms before and I’ve cut out all acidic foods and following the IC diet with no change for 5 weeks. I pushed for a mri of the pelvis and just got the results yesterday. Can someone say if they think this is a significant finding? Should I push for GYN help or go back to urology?? Thanks for anything!
Findings: The uterus is anteverted, length of 9.4 cm endometrial thickness of 1.1 cm. There is diffuse myometrial heterogeneity, with somewhat masslike area of T2 hypointensity similar to the junctional zone at the anterior fundus, image 9-24 measuring 1.8 cm, without significant microcystic changes. Numerous clustered nabothian cysts are noted at the cervix.
Urinary bladder is underdistended, limiting characterization. No abnormal periurethral lesions are identified. No abnormal vaginal lesions are identified.
The rectum and imaged bowel demonstrates normal caliber and no evidence for acute inflammatory changes.
The ovaries demonstrate polycystic morphology, with numerous cystic foci along the periphery. The left ovary measures roughly 4.5 x 2.6 x 3.1 cm in the right ovary measures roughly 3.2 x 2.2 x 1.6 cm. There is a rim-enhancing cystic focus in the left ovary with partially crenulated margin, consistent with an involuting corpus luteal cyst.
No visualized lymphadenopathy. No abnormal fluid collections within the pelvic cavity. Trace free fluid is present which is nonspecific and may be physiologic or reactive.
Punctate T1 hyperintensity along the posterior wall of the rightward uterine fundus, image 13-58 measuring 3 mm.
There is prominent pelvic vascularity bilaterally, with engorged venous structures suggestive of congestion. No acute vascular findings.
No acute osseous findings on these soft tissue specific sequences. . Impression:
- Engorged pelvic vasculature consistent with venous congestion. Consider correlation for pelvic congestion syndrome.
- Polycystic morphology of the ovaries with likely involuting corpus luteal cyst on the left. Trace pelvic free fluid is present which may be physiologic.
- Heterogeneous uterus with patchy area of T2 hypointensity in the anterior fundal myometrium, potentially related to menstrual phase though focal adenomyosis could appear similar. There is also equivocal trace hemorrhagic staining/endometriosis along the posterior fundal wall measuring 3 mm.
Dictated By: - 5/5/2026 1:37 PM EDT