34 years, Female, Reason: pt with pelvic mass vs. pedunculated fibroid seen on previous scan, check for increase size, adenopathy History: abdominal pain/distension. PELVIS: FemaleUTERUS, ADNEXA: Large exophytic lesion arising from the fundus of the uterus is increased in size measuring 20.1 x 8.8 x 19.0 cm (4/26 and 5/26), previously 17.7 x 9.1 x 18.0 cm. This lesion is primarily low signal on T2 weighted images with areas of increased areas of increased T2 signal, likely representing cystic degeneration. There is displacement but no evidence of invasion of surrounding structures.Normal ovarian follicles are present bilaterally.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 free fluid in the pelvis.
Large exophytic lesion arising from the uterus is increased in size and most likely represents a pedunculated fibroid. However, while there is no invasion of surrounding structures or lymphadenopathy, a leiomyosarcoma cannot be excluded. 