History of cervical mass. PELVIS:UTERUS, ADNEXA: Anteflexed anteverted uterus without evidence of a congenital mullerian duct abnormality. The uterus measures approximately 8.0 x 3.4 cm in the sagittal plane.The endometrium/endometrial cavity is normal in thickness measuring 1 to 2 mm.The inner myometrium/junctional zone is normal in thickness and there are no additional specific findings of adenomyosis.Along the posterior lower uterine/cervical segment there is an exophytic/subserosal well-defined T1 and T2 weighted hypointense round mass measuring 4.2 x 3.3 cm in the sagittal plane most compatible with a large fibroid which was present on a 2002 MR in which it measured approximately 5.2 x 4.2 cm in axial plane. The fibroid demonstrates isointense enhancement to the remainder of the myometrium. There are additional small intramural probable fibroids.The right and left adnexa are unremarkable with subcentimeter hyperintense foci in the left ovary, within physiologic limits.The cervical stroma is unremarkable. The parametrial soft tissues are unremarkable.The vaginal canal and perineum is unremarkable.BLADDER: No significant abnormality noted.LYMPH NODES: Small subcentimeter right pelvic wall lymph nodes are also unchanged dating back to 2002.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
4.2 cm posterior lower uterine/cervical segment probable fibroid is unchanged in appearance dating back to 2002 and may correspond to the palpable mass on examination