History of uterine fibroids. Considering uterine fibroid embolization. PELVIS:UTERUS, ADNEXA: Anteverted uterus.The uterus measures 14.8 x 9.7 cm in the sagittal plane.The endometrium measures 4 mm in thickness, within normal limits.The endometrial and inner myometrial/junctional zone interface is unremarkable.There are 2 well-defined masses compatible with leiomyomata. The largest is a 6.0 x 5.5 cm intramural fibroid in the left posterior fundus demonstrating very low T2-weighted signal intensity and intermediate T1-weighted signal hyperintensity. It demonstrates no postcontrast enhancement.Additional 4.3 x 3.9 cm intramural fibroid in the right posterior fundus is noted. It is isointense to the myometrium on T1 and T2-weighted images. This lesion demonstrates avid postcontrast enhancement.The cervical stroma is normal in signal intensity with a small nabothian cyst at the cervico-vaginal junction. The left ovary measures 2.9 x 1.8 cm containing several physiologic follicles.The right ovary measures approximately 2.9 x 3.8 cm containing several physiologic follicles.Several parauterine vessels are not remarkably dilated.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: No significant abnormality noted.
Two uterine fibroids with the largest measuring 6.0 cm with imaging characteristics compatible with a nonenhancing hemorrhagic fibroid. Additional 4.3 cm intramural enhancing fibroid.