Female 39 years old Reason: large symptomatic fibroids, surgery planning. Pt special needs, down syndrome. History: bulk symptoms, painful cramping PELVIS:UTERUS, ADNEXA: Uterus measures 13.0 x 11.3 x 9.0 cm. At the posterior/fundal region there is a dominant leiomyoma measuring 12 x 11 x 9 cm approximately. The leiomyoma has central areas of nonenhancement suggesting areas of necrosis. The majority of the leiomyoma enhances.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: Small amount of pelvic ascites.
1.Enlarged uterus with a dominant leiomyoma as detailed above.