Large symptomatic uterine fibroids presents for surgical planning. PELVIS:UTERUS, ADNEXA: The uterus is markedly enlarged and distorted by numerous well-defined masses, compatible with numerous fibroids. It measures approximately 18.5 x 8.7 cm in sagittal dimension. Many of these masses are pedunculated and extend into the left and right adnexa. The largest fibroid is a pedunculated fibroid extending to the left adnexa measuring 7.6 x 7.3 cm (series 5 on 1/35). The fibroids demonstrate heterogeneous postcontrast enhancement with some demonstrating partial central necrosis.The endometrial cavity is distorted by the numerous submucosal and intramural fibroids. It does not appear thickened.The endometrial/inner myometrial junction is poorly seen but is otherwise unremarkable.The right ovary measures 2.4 x 1.3 cm (series 501/16) with several physiologic follicles.The left ovary measures 4.0 x 2.9 cm and contains several physiologic follicles and a simple cyst measuring 2.2 x 1.6 cm. Small amount of free fluid in the cul-de-sac and adjacent to the right adnexum is within physiologic limits.The cervical stroma is normal in signal intensity.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild bilateral hydroureters is partially imaged to the level of the pelvic inlet likely related to mass effect from the enlarged uterus.OTHER: No significant abnormality noted.
1. Markedly enlarged and distorted uterus containing numerous well-defined enhancing masses compatible with leiomyomata.2. Partially imaged mild bilateral hydroureters to the level of the pelvic inlet likely related to mass effect from the enlarged uterus.