47-year-old female with a history of uterine fibroids, status post bilateral uterine artery embolization. PELVIS:UTERUS, ADNEXA: The uterus measures 8.6 x 8.1 cm, previously 9.2 x 8.6 cm (series 8; image 27). Multiple uterine fibroids are again seen, which appear grossly decreased in size to the prior study. The largest reference subserosal fibroid located in the fundus measures 4.9 x 4.9 cm, previously 5.7 x 5.7 cm (series 12, image 6), there is interval decrease in enhancement when compared to the prior study. There is a necrotic intramural fibroid along the anterior wall of the body of the uterus, which measures 4.8 x 4.1 x 4.2 cm, previously 6.0 x 5.1 x 5.1 cm, without significant enhancement on postcontrast sequences.BLADDER: No significant abnormality noted.LYMPH NODES: No evidence of lymphadenopathy.BOWEL, MESENTERY: Colonic diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: Focus of nodular enhancement in the anterior abdominal wall may represent granulation tissue from prior laparoscopic surgery, unchanged.
Interval decrease in size and enhancement of multiple intramural, subserosal and pedunculated uterine fibroids, consistent with the stated history of uterine artery embolization; there is also interval decrease in overall size of the uterus.