41-year-old female with STUMP (Smooth muscle Tumor of Uncertain Malignant Potential) tumor in fibroid. Please evaluate for potential residual disease. PELVIS:UTERUS, ADNEXA: Uterus containing multiple T2 hypoattenuating rounded foci compatible with history of fibroids.Left ovary contains a 2.1 cm follicle/cyst (coronal series 7 image 14). Unremarkable right ovary.In the left adnexa, there is a 1.2 x 1.4 x 1.4 cm round structure (axial series 11 image 23, sagittal series 9 image 28) that is hypointense on T2 and demonstrates peripheral contrast enhancement similar to that of the uterine myometrium (axial series 1302 image 63).BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Rounded T2 hypointense structure in the left adnexa measuring 1.2 x 1.4 x 1.4 cm that demonstrates peripheral contrast enhancement similar to uterine myometrium. This could represents a fallen fragment from prior myomectomy, however a drop metastasis cannot be excluded.2.Leiomyomatous changes of the uterus. No abnormal contrast enhancement is seen.