Abdominal/pelvic swelling PELVIS:UTERUS, ADNEXA: The uterus is markedly enlarged with numerous well-defined masses compatible with fibroids.Some of these masses are poorly defined such as in the right intramural body with foci of T2 weighted hyperintensity suggestive of focal adenomyomas. Additional scattered foci of T2 weighted hyperintensity suggests diffuse adenomyomatosis.In the right adnexa there is a septated lesion measuring at least 11.1 x 5.1 cm demonstrating T1 weighted hyperintensity and T2 weighted hypointensity without enhancement most likely representing a endometrioma.Suspected small corpus luteal cyst in the left ovary.At the level of the rectosigmoid there is an exophytic/pedunculated mass from the uterine fundus which at the very least abuts the rectosigmoid.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mass effect on the rectosigmoid by an exophytic/pedunculated uterine fundal mass.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Markedly enlarged uterus containing numerous presumed fibroids. Please note that the superior extent of the uterus was not imaged on this dedicated pelvic MRI.2.Suspected focal adenomyomas and adenomyomatosis of the uterus.3.At least 11.1 cm right adnexal mass with imaging characteristics most suggestive of an endometrioma.4.There is an exophytic mass from the posterior uterine fundus resulting in at least mass effect of the rectosigmoid. If there is persistent rectal/pelvic pain a CT should be considered to exclude invasion of the colon.