History of uterine fibroids. Undergoing evaluation prior to uterine fibroid embolization. PELVIS:UTERUS, ADNEXA: The uterus is markedly enlarged measuring 14.2 x 12.3 x 10.4 cm. There are numerous leiomyomas. There is a single dominant ventral submucosal fibroid in the mid uterine segment which measures 9.1 x 9.2 x 8.4 cm. The next largest lesion is an intramural dorsal fibroid which measures 3.0 x 2.2 x 2.7 cm. The postcontrast images show mild heterogeneous arterial enhancement of the fibroids which is less than the adjacent endometrium.Endometrium is distorted by the underlying fibroids but is otherwise unremarkable.A 9 mm simple cystic focus in the right labia majora compatible with a bartholin duct cyst.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.Multiple uterine fibroids as described. There is mild heterogeneous arterial enhancement of the fibroids which is less than the background myometrium.