History of uterine fibroids. PELVIS:UTERUS, ADNEXA: The uterus is lobular in contour and enlarged due to multiple intramural, and subserosal pedunculated fibroids. One fibroid appears to have a small submucosal component. The uterus measures 13.3 x 10.1 cm in the sagittal plane. The endometrial cavity is distorted and displaced by the fibroids but appears normal in thickness.The inner myometrium/junctional zone is difficult to visualize. At the fundus it is normal in thickness measuring 5 mm in thickness.The largest fibroid is in the left fundal subserosal/pedunculated position measuring 6.9 x 5.4 cm. The fibroids demonstrate moderate to avid gradual postcontrast enhancement.The cervical stroma, parametrial soft tissues, and vaginal canal are unremarkable.The left ovary is displaced superiorly and is normal in morphology and size with several physiologic follicles. The right ovary is unremarkable. Trace pelvic fluid is within physiologic limits. Normal caliber appendix and unremarkable terminal ileum is partially imaged.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.
Multiple intramural and subserosal pedunculated uterine fibroids as above within a lobular enlarged uterus demonstrating moderate to avid postcontrast enhancement.