Female 48 years old with uterine fibroids diagnosed on U/S. She has menorrhagia, bowel and bladder symptoms. MRI needed prior to uterine fibroid embolization procedure. PELVIS:UTERUS, ADNEXA: The uterus has a lobular contour and measures 12.0 x 16.0 x 15.1 cm AP by transverse by craniocaudal (series 701, image 22 and series 601, image 10). There are numerous well defined, enhancing subserosal, intramural and submucosal lesions which are predominantly of low signal intensity on both T1 and T2 weighted images that distort the endometrial canal. The largest lesions include a pedunculated right uterine lesion measuring 5.3 x 5.5 x 6.7 cm (series 501, image 35 and series 601, image 9) and an anterior lesion measuring 5.3 x 7.1 x 7.5 cm (series 701, image 19 and series 601, image 10). The enlarged uterus causes mass effect on the urinary bladder.Fluid signal intensity within the endometrial canal and vagina is likely related to blood products.Functional cysts and follicles are notes in the right ovary, the left ovary is unremarkable.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is a small amount of pelvic free fluid.
Enlarged uterus with multiple enhancing leiomyomas.