46-year-old female with large uterine fibroids. PELVIS:UTERUS, ADNEXA: The uterus is markedly enlarged measuring up to 24 cm in transverse, 23.4 cm in craniocaudal length, and 13.9 cm in AP diameter. Numerous fibroids are identified. The largest fibroid is exophytic originating from the right aspect of the fundus measuring 11.3 cm in AP, 12.7 cm in transverse, and 13.5 cm in craniocaudal diameter (axial series 601 image 34, coronal series 501 image 16). Intralesional fluid likely related to cystic degeneration (coronal series 301 image 18). This fibroid is possibly pedunculated. An additional large subserosal fibroid of the left uterine fundus measures 10 cm in AP, 10.3 cm in transverse, and 11.3 cm in craniocaudal diameter (axial series 601 image 29, coronal series 501 image 17).There are 2 submucosal/intracavitary fibroids. The larger one measures 2.6 cm in AP, 2.3 cm in transverse, and 3.8 cm in critical diameter (axial series 601 image 24, sagittal series 701 image 29). The smaller one measures 0.9 cm in AP, 0.8 cm in transverse, and 0.8 cm in craniocaudal diameter (axial series 601 image 19, coronal series 501 image 18).A large fibroid of the posterior lower uterine segment measures 7.3 cm in AP, 7.5 cm in transverse, and a 7.5 cm in craniocaudal diameter (axial series 601 image 14, coronal series 501 image 31).Additional numerous small intramural fibroids are also identified. All fibroids demonstrate postcontrast enhancement with the exception of the cystic component in the right fundal lesion.The bilateral ovaries show no acute abnormality (axial series 601 image 11).BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Trace free fluid in the pelvis, likely physiologic.BONES, SOFT TISSUES: Small fat-containing left periumbilical hernia (series 601 image 27).OTHER: No significant abnormality noted.
1.Enlarged uterus containing multiple fibroids as described above. The largest fibroid is exophytic originating from the right uterine fundus and demonstrates findings compatible with cystic degeneration.