Reason: evaluating for adenomyosis. h/o multiple uterine fibroids and UFE History: menorrhagia, polymenorrhea, pelvic pain PELVIS:UTERUS, ADNEXA: The uterus is enlarged with multiple fibroids measuring 10.6 x 12.7 cm in transverse dimension and 13.3 cm in craniocaudal dimension. There are multiple large enhancing fibroids, including an anterior intramural fibroid measuring 6.7 x 6.0 cm (501/40) and a right-sided lower subserosal fibroid measuring 5.8 x 5.8 cm (501/28). The right-sided lower subserosal fibroid is avidly enhancing on arterial phase images. The remaining fibroids demonstrate progressive enhancement. There is an enhancing submucosal fibroid measuring 1.9 x 1.2 cm in transverse dimension (501/44), and 2.0 cm in craniocaudal dimension (601/46). There is an additional small submucosal fibroid near the fundus (901/20). The junctional zone is within normal limits measuring 6 mm. Multiple nabothian cysts are present.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small fat-containing umbilical hernia.OTHER: Small amount of free fluid is present within the pelvis.
1.Multiple large enhancing fibroids with differential enhancement pattern as detailed above, with two smaller submucosal fibroids.2.No evidence of adenomyosis.