complex adnexal mass cannot r/o neoplasm

I recently went to the hospital for pain in the right lower quadrant where they found a lesion. I am 34 years old, and I had a hysterectomy 3 years ago but still have my ovaries. I had the Hysterectomy due to HGSIL and they said it was a level 0 cancer where the cells were on my cervix, but had not invaded. I also had extensive endometreosis. I have had pain for the past 2 years especially with intercourse or extreme activity. Over the past year I had cramping, almost like a period on a daily basis, I stay very tired and it hurts in my ovary area when i use the bathroom. I will have intermittant sharp pains alot and I have to stop till it passes. They did a ct and a transvaginal ultrasound. The findings were as follows: ct- a 3 x 3 cm soft tissue density in the right adnexa which shows a 2mm thick enhancing capsule with a low attenuation center. the impression was as follows a 3cm lesion in the anterior hemipelvis which incorporates a soft tissue margin within which there is a 2mm thick enhancing capsule. Inside the capsule is a region of fluid attenuation. It could relate to atypical ovarian cyst or mass. Then they did a US as a followup which stated:that the right ovary could not be seen. There is a moderate amount of fluid in the cul de sac and a complex appearing lesion measuring 3 x 3 cm of the right adnexa. The impression says complex semisolid, semi cystic mass of the right adnexa possiably a abcess or hemorrhagic right ovarian cyst in association with moderate amount of fluid in the cul de sac. Unable to definitely rule out neoplasm. My questions are what does the enhancing capsule with a low attenuation center mean.? Is this a cyst or a mass? Is it on my ovary or inside the ovary or just in the region where my ovaries are? If it is just a hemmoragic cyst then why are they saying cannot rule out neoplasm? It makes me worry where I have had cancer cells before. Last question will they have to do surgery or can they treat this with medicine? Hope someone can help me, my appt with the specialist is May 11, but I'm gonna drive myself crazy till then. Thanks to all advice in advance.

One thing I do know, my CT scans have always used the term "mass" but my doctor would say "cyst." So don't panic at this point!

How did your appointment go on the 11th? Was the doctor able to ease your mind or schedule more testing for answers?

Is there any possibility that some of this has to do with the fact that you also had endometriosis? A hysterectomy is not a cure for that condition so it could be at least complicating the situation!

I have had issues with various types of cysts since my hysterectomy and I know it can be scary! I hope you have some better answers by now so that you and your medical team can plan a treatment route!

in there!