History of uterine artery embolization. PELVIS:UTERUS, ADNEXA: Anteverted uterus with lobular contour. The uterus measures approximately 10.9 x 7.7 cm in the sagittal plane.It contains numerous well-defined T1 and T2 weighted hypointense masses compatible with fibroids. The largest is an intramural fundal fibroid measuring 6.7 x 7.7 cm in the sagittal plane. Additional 3.0 x 2.7 and 2.8 x 1.9 intramural and submucosal fibroids are noted in the uterine body. The fibroids demonstrate no significant postcontrast enhancement, significantly decreased from the prior. The endometrium/endometrial canal is distorted by the large fibroids but is normal in thickness. The inner myometrium/junction is similarly distorted but does not appear thickened. No hemorrhagic or cystic changes in the myometrium to suggest adenomyosisThe left ovary measures approximately 3.3 x 2.3 cm and contains physiologic cysts/follicles and a T1-weighted hyperintense non-enhancing dermoid cyst measuring 2.0 cm, unchanged. The right ovary measures 3.0 x 1.8 cm with physiologic cysts/follicles.The cervical stroma and parametrial soft tissues are unremarkable.Within the upper anterior vaginal canal there is a cystic lesion measuring 2.5 x 1.7 cm containing debris and thin non-enhancing septations, unchanged.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific unchanged right pelvic wall prominent lymph nodes are likely reactive.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No significant enhancement of the uterine fibroids.2.Unchanged 2.0 cm left ovarian dermoid cyst.3.Unchanged upper anterior vaginal canal minimally complex cyst, likely a Gartner's duct cyst.