Evaluate uterine fibroids. PELVIS:UTERUS, ADNEXA: Anteverted mildly anteflexed uterus. No evidence of a mullerian congenital abnormality.The uterus measures 11.3 x 6.9 cm in the sagittal plane.The endometrium/endometrial canal measures up to 13 mm without a focal abnormality.The endometrial myometrial/junctional zone is poorly defined and thickened up to 15 mm. Multiple punctate cystic foci are noted within the inner and outer myometrium. No T1-weighted hyperintense hemorrhagic foci are evident. Susceptibility artifact suggests old blood products such as from prior c-section. Several small poorly defined hypodense uterine masses are noted which demonstrates enhancement. The largest is in the left uterine body measuring 2.3 x 2.0 cm, likely a small fibroid.The uterine cervical stroma is unremarkable. The parametrial soft tissues are unremarkable.The right ovary measures approximately 3.4 x 2.5 cm it contains several follicles/physiologic cysts.The left ovary measures approximately 2.6 x 1.8 cm it contains follicles/physiologic cysts.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.
1. Findings most compatible with diffuse adenomyomatosis.2. Left intramural body 2.3 cm probable fibroid and additional very small fibroids versus focal adenomyomata. 