Ct reports 'physiological change seen in both adnexa and uterine cavity'. could this indicate a prolapse? and/or what else could it indicate?

Not prolapse: Physiological canges are changes that happen naturally in your body and are normal. They included signs of ovulation or signs of a period about to come or that both ovulation and your period is over. It can mean normal things that happen to your ovaries and your uterine cavity

"Physiological: changes" is nonspecific verbiage, but it would imply normal findings. It would not indicate prolapse.