44-year-old female with heavy bleeding. Evaluate uterine fibroids. PELVIS:UTERUS, ADNEXA: The uterus is retroverted. Note is made of thickening of the endometrium, most pronounced along the anterior wall of the body and fundus of the uterus, measuring approximately 26 mm in diameter. There are punctate foci of fluid signal intensity in the aforementioned area. These findings are suspicious for adenomyosis. Additionally, note is made of multiple subcentimeter masses in the uterus with associated decreased T2 signal abnormality and enhancement consistent with intramural uterine firboids. The largest measures 8 mm in diameter. Multiple nabothian cysts are identified. Left ovarian cystic lesion measures 2.6 cm in diameter and may represent a physiologic cyst. BLADDER: No significant abnormality noted.LYMPH NODES: No evidence of lymphadenopathy. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings which appear most consistent with adenomyosis, as detailed above.2.Multiple subcentimeter uterine fibroids, as detailed above.