History of uterine fibroids status post uterine artery embolization. PELVIS:UTERUS, ADNEXA: The uterus measures 10.7 x 7.6 x 8.1 cm, previously 11.7 x 8.7 x 11.2 cm.There are numerous foci of mildly increased T1 and low T2 signal compatible with uterine fibroids. These are predominantly intramural in location with a single moderate size subserosal fibroid arising from the dorsal fundus. The majority of these are slightly decreased in size compared to prior. The largest fibroid is in the right mid uterine body and measures 5.1 x 3.9 x 4.1 cm, previously 5.9 x 4.9 x 5.2 cm. Compared to prior, the majority of the fibroids do not demonstrate postcontrast enhancement. There is mild residual enhancement of 2 smaller fibroids in the lower uterine segment measuring up to 2.3 cm in maximum dimension.The uterine cavity is distorted by the adjacent intramural fibroids, but is otherwise unremarkable. The junctional zone is normal in thickness.Resolution of previous right ovarian cyst, likely follicle. The left ovary is unremarkable.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Enlarged lobular uterus containing numerous moderate to large fibroids a predominantly intramural distribution. Compared to prior, individual fibroids in the uterus overall are slightly decreased in size. There is mild residual enhancement of 2 smaller fibroids in the lower uterine segment, otherwise the most of the fibroids do not enhance on the postcontrast images indicating interval necrosis.