26-year-old woman with history of abnormal uterine bleeding and symptomatic fibroids. PELVIS:UTERUS, ADNEXA: The uterus is anteverted and anteflexed. In the anterior right fundus, there is a 63 x 54 mm intramural/submucosal mass (5/21) which is T1 and T2 heterogeneous with avid homogenous postcontrast enhancement (11/58). This mass displaces the endometrium. Within the endometrial canal, there is small amount of material with signal compatible with old hemorrhage.The ovaries appear normal with follicles.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Left Bartholin's gland cyst noted. There appears to be a tampon in the vagina. Nonspecific small foci of susceptibility artifact are favored to represent old blood products.OTHER: No significant abnormality noted.
1.Large, avidly enhancing intramural/submucosal fibroid arising from the right fundus.2.Blood in the endometrial canal with vaginal tampon, correlate with menstrual cycle.