Multiple uterine fibroids. PELVIS:UTERUS, ADNEXA: Enlarged lobular uterus containing multiple well-defined T2 hypointense and T2 heterogeneous masses compatible with multiple leiomyomata. The uterus measures 12.2 x 9.4 cm in the sagittal plane.A right anterior fundal subserosal fibroid measures 9.6 x 5.7 cm. An anterior intramural body fibroid measures 7.9 x 6.1 cm. A dorsal intramural body fibroid measures 3.7 x 3.3 cm. Note is made of an anterior body/fundal submucosal fibroid measuring 1.6 x 1.5 cm.All the fibroids aside from the posterior/dorsal 3.7 cm fibroid demonstrate postcontrast enhancement.The endometrium/endometrial cavity is distorted by the fibroids but is normal in thickness and is homogeneously T2 weighted hyperintense in signal intensity, normal. The inner myometrium/junctional zone is well-defined and is normal in thickness.The left ovary is normal in size but contains a T2 mildly hyperintense 2.2 x 1.7 cm lesion which demonstrates peripheral thick rim enhancement and crenulated margins. The right adnexa 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.Multiple large fibroids most of which demonstrate contrast enhancement as described above.2.2.2 cm left adnexal lesion is likely a corpus luteal cyst, however 4-6 week pelvic ultrasound is recommended to confirm resolution.