Status post bilateral UAE for fibroids PELVIS:UTERUS, ADNEXA: Enlarged fibroid uterus again visualized but demonstrating overall interval decrease in size, now measuring 17.5 x 8.6 cm in sagittal plane, previously 21.2 x 10.8 cm. Internal necrosis and greater amount of T1 hyperintensity seen in several fibroids, likely reflecting internal hemorrhage. Reference intramural fibroid located in uterine body posteriorly demonstrates internal necrosis and liquefaction and now measures 5.8 x 5.2 cm on image 163 series 10, previously measured 6.7 x 6 cm. Previously alluded to largest discrete fibroid anteriorly now demonstrates extensive necrosis and measures 6.2 x 4.6 cm, previously measured 9.4 x 7.5 cm. Persistent avid enhancement visualized in multiple additional smaller uterine fibroids bilaterally. Deformity of endometrial stripe secondary to numerous fibroids seen. Again seen fluid containing tubular structure in left adnexa, likely hydrosalpinx, improvement in size noted. Simple appearing 3.1 cm right adnexal cyst visualized.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. Decreased size of fibroid uterus as described with evidence of internal necrosis in the largest leiomyomas, reflecting posttreatment sequela; please see above.2. Left-sided hydrosalpinx decreased in size.