Had a pelvic ct. what does adnexal hyperemia and bladder not well distended mean?

Focus on hyperemia: Adnexa=area of ovaries, Hyperemia=increased blood flow. Assuming nothing else was mentioned this is likely a normal finding. Despite advances in CT technology, I still believe an ultrasound is the best way to examine the adnexa and bladder. "Bladder not well distended" just means you went to the bathroom before the scan. It is normal.