45-year-old female. Uterine fibroids, dysmenorrhea, menorrhagia. PELVIS:UTERUS, ADNEXA: Enlarged uterus with multiple submucosal, intramural, and subserosal T2 hypointense masses consistent with fibroids. These fibroids vary in size with the largest in the left posterior uterine fundus, measuring 4.5 x 3.3 cm. Post contrast sequences show that these fibroids show significant vascularity, most with 80% or greater enhancement. The endometrial cavity is 2 mm in thickness and appears normal in signal intensity. Small Nabothian cyst. No adnexal masses. Ovaries are normal in appearance.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: Trace free pelvic fluid, likely physiologic in a premenopausal woman.
Multiple uterine fibroids, majority of which show significant vascularity. 