History of uterine fibroids status post uterine fibroid embolization. History of myomectomy. PELVIS:UTERUS, ADNEXA: Anteverted and mildly retroflexed uterus. No evidence of a congenital mullerian duct abnormality.The uterus measures 8.2 x 5.1 cm in the sagittal plane. There are several well-defined hypoattenuating intramural masses compatible with fibroids with the largest measuring 2.4 x 1.9 cm in the right uterine body. The fibroids demonstrate no significant postcontrast enhancement. There are approximately 3 additional smaller fibroids.The inner myometrium/junctional zone is poorly defined and thickened in the uterine fundus suspicious for diffuse adenomyosis. No significant cystic or hemorrhagic changes are noted in the uterus.The myometrium is normal in thickness. The cervical stroma and parametrial soft tissues are unremarkable.The bilateral adnexa are heterogeneously enlarged with the right measuring approximately 5.5 x 4.0 cm in the axial plane and the left measuring approximately 4.8 x 3.0 cm. They contain complex cystic lesions which demonstrate air-fluid levels, foci of hemorrhage and T2-weighted shadowing suspicious for endometriosis. This is progressed from the prior study.BLADDER: Note is made of a urethral diverticulum without evidence of complication.LYMPH NODES: No enlarged pelvic lymphadenopathy.BOWEL, MESENTERY: There is asymmetric marked thickening of the rectosigmoid junction which demonstrates peripheral enhancement and intrinsic mild hyperintensity. This was noted on prior CT examination dated 4/6/2014. Given the stability this is suspicious for endometriosis of the sigmoid.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No significant enhancement of several small uterine fibroids the largest of which measures 2.4 cm.2.Findings suspicious for diffuse adenomyosis. Bilateral heterogeneous ovarian enlargement with findings suspicious for endometriosis.3.Suspected rectosigmoid junction large focus of endometriosis.