Provided history of uterine fibroids. PELVIS:UTERUS, ADNEXA: Markedly enlarged uterus replaced with heterogeneous well-defined masses compatible with numerous large fibroids. The uterus measures 10.8 x 21.2 cm in the sagittal plane.A representative intramural fibroid in the posterior uterine body measures 6.7 x 6.0 cm (series 1 104/162) in axial dimension. In the anterior fundus the largest discrete fibroid measures 9.4 x 7.5 cm (series 1 104/310).The fibroids demonstrate moderate to marked arterial enhancement.The endometrium is markedly distorted by marked mass effect but is not thickened.Fluid-filled tubular structure in the left adnexa likely represents a hydrosalpinx. No significant surrounding inflammatory changes.In the region of the right adnexa physiologic cyst formation is suggested, less likely insinuating small bowel.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. Markedly enlarged lobular fibromatous uterus. The fibroids demonstrate moderate to marked arterial enhancement.2. Left sided hydrosalpinx without significant inflammatory changes.