43-year-old female with history of uterine AVM. PELVIS:UTERUS, ADNEXA: The uterus is markedly enlarged measuring 11 x 10 cm in maximal sagittal dimensions. There is a focus of mildly increased T2 signal abnormality within the left posterior uterus demonstrating arterial enhancement measuring 2.2 x 2.1 cm. The endometrial canal margins are indistinct and extend shallowly, but diffusely, into the myometrium compatible with adenomyosis. No abnormal flow voids are present to suggest large AVM.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: There is a left Bartholin's gland cyst measuring 1.3 x 1.2 cm.
1. Markedly enlarged uterus.2. Probable small intramural uterine fibroid in the left posterior uterus. No evidence of uterine AVM, i.e., no flow voids seen.3. Diffuse uterine adenomyosis.