Pain and abnormal bleeding. Consideration for UFE. PELVIS:UTERUS, ADNEXA: Uterus demonstrates partial septate morphology and is retroflexed. It measures approximately 7.3 x 8.2 x 10.0 cm (AP by ML by sagittal dimensions). There are multiple T2 hypointense subserosal, intramural and pedunculated fibroids. The largest subserosal fibroid measures 1.5 x 2.3 x 1.9 cm and is located near the right isthmus. The largest intramural fibroid is located in the left fundal wall measuring 3.7 x 2.9 x 2.9 cm. The largest pedunculated fibroid located in the mid right uterine body measures 2.5 x 2.2 x 2.2 cm. These demonstrate heterogeneous enhancement on postcontrast sequences.T2 hyperintense punctate cystic changes in the myometrium and thickening of the junctional zone, compatible with adenomyosis.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 subserosal, intramural, and pedunculated fibroids, as above.2.Findings compatible with adenomyosis.