History of endocervical polyp. Menometrorrhagia. Evaluate for adenomyosis. PELVIS:UTERUS, ADNEXA: Anteflexed uterus measuring 8.3 x 4.3 cm in the sagittal plane. There is a 1.1 cm left fundal/body intramural fibroid. There is an anterior right body submucosal/intramural 1.2 cm fibroid.The inner myometrium/junctional zone is normal in thickness measuring 8 mm and is well defined without cystic or hemorrhagic foci to suggest adenomyosis.The endometrium/endometrial cavity measures 1.5 cm in thickness and is mildly heterogeneous. On postcontrast imaging there is a polypoid enhancing lesion extending from the fundus measuring 1.8 x 1.3 cm. An additional smaller focus extends into the endometrial canal from the right fundal wall.The right adnexa contains several simple cysts and physiologic follicles. The left next is unremarkable.Multiple nabothian cysts are noted.Note is made of bilateral right greater than left T2 hyperintense subcentimeter foci near the vaginal cuff/internal cervical os with intrinsic T1 weighted hyper intensity internally which likely represents small nabothian cysts with internal hemorrhagic debris. No suspicious postcontrast enhancement.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.No evidence of adenomyosis as clinically questioned.2.Well-defined enhancing polypoid lesions extending into the endometrial cavity compatible with endometrial polyps as clinically reported.3.Two small uterine fibroids measuring less than 1.5 cm each.