41 year old female with large posterior fibroids PELVIS:UTERUS, ADNEXA: Two large fibroids with additional smaller fibroids are identified. The anterior intramural fibroid measures 5.9 x 8.8 x 8.1 cm. The large posterior fibroid measures 5.8 x 5.7 x 6.4 cm exerting mass effect on the endometrial complex and likely has a submucosal component.The anterior fibroid heterogeneously enhances while the posterior fibroid demonstrates delayed enhancement. Additional smaller fibroids also demonstrate enhancement.Bilateral physiologic ovarian follicles are noted with the largest on the left measuring 2.3 x 1.8 cm.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.
1.Two dominant uterine fibroids as described above (additional smaller fibroids also present). The large posterior fibroid exerts mass effect on the endometrial complex and likely has a submucosal component.