52-year-old female with a history of uterine fibroids and pelvic pain. PELVIS:UTERUS, ADNEXA: Note is made of numerous masses with associated decreased T2 signal abnormality within the uterus, consistent with uterine fibroids. Some of these masses have an isointense to hyperintense T2 signal abnormality suggestive of cystic degeneration. The largest intramural fibroid is located along the right lateral uterine wall, measures 6.0 x 4.8 x 5.3 cm (26; series 801). The largest pedunculated uterine fibroid situated along the superior aspect of the fundus measures 3.4 x 3.3 x 3.1 cm (35; series 801). All of these masses demonstrate uniform enhancement on post contrast sequences. There are multiple punctate foci of fluid signal abnormality in the endometrium, which appears abnormally thickened, particularly along the anterior wall of the fundus, measuring up to 17 mm in diameter, extending into the myometrium (19; series 1101). These findings are consistent with adenomyosis. Subcentimeter foci of fluid signal intensity in the region of the cervix, consistent with nabothian cysts.Right ovarian follicle. Tubular focus of fluid signal intensity consistent with right-sided hydrosalpinx. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Heterogeneous bone marrow signal abnormality may represent islands of red marrow.OTHER: No significant abnormality noted.
1. Numerous uterine fibroids with reference measurements provided above. 2. Uterine adenomyosis, as detailed above. 3. Right-sided hydrosalpinx. 