Dysmenorrhea, menorrhagia, clinical history of fibroids PELVIS:UTERUS, ADNEXA: There are multiple enhancing T2 hypointense uterine lesions compatible with fibroids. The largest of these appears subserosal in the posterior wall measuring 3.5 x 3.1 cm (series 5, image 24). A 2.4 x 1.9 cm fibroid centered anterior intramural (series 5, image 26) distorts the endometrial stripe and likely contains a submucosal component. The largest submucosal fibroid is anterior and measures 2.0 x 1.4 cm (series 5, image 28).The endometrial layer is indistinct and thickened, compatible with adenomyosis. Subcentimeter nabothian cysts are noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A widemouthed left periumbilical fat-containing hernia is noted, without evidence of complication.
1.Multiple uterine fibroids, as described above.2.Adenomyosis.