History of right ovarian artery and left uterine artery embolization for fibroids. PELVIS:UTERUS, ADNEXA: Myomatous uterus.The large reference intramural posterior mid body myoma measures 4.7 x 4.8 x 4.1 cm (TR by AP by cc), compared to 6.3 x 5.6 x 5.1 cm previously. There are no regions of T2-hyperintensity, compatible with necrosis. On postcontrast imaging there is no significant postcontrast enhancement of the majority of the fibroid, significantly decreased from the prior study.The reference subserosal pedunculated fibroid arising off the anterior fundus measures 1.6 cm (series 7/24), unchanged. This fibroid demonstrates postcontrast enhancement, unchanged.The endometrium appears very thickened with multiple fluid signal intensity foci compatible with adenomyosis.The reference fluid collection in the right vaginal introitus measures 2.7 x 2.4 cm compared to 2.8 x 2.1 cm previously compatible with a Gartner's/Bartholin's duct cyst. Multiple small nabothian cysts are again noted.BLADDER: No significant abnormality noted.LYMPH NODES: Multiple nonspecific bilateral inguinal and femoral lymph nodes measure less than 1 cm in short axis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval decrease in the size of the dominant fibroid with interval decrease in enhancement.2.Diffuse adenomyosis. 