Complex atypical endometrial hyperplasia with foci of squamous differentiation. Evaluate extent of endometrial disease. PELVIS:UTERUS, ADNEXA: The uterus is anteverted and measures 8.6 x 10.7 x 10.8 cm (AP x ML x CC).The endometrium measures 19 mm in thickness, which is increased. It is mildly T2 hyperintense. It is homogeneous in signal intensity without a discernable lesion on pre-contrast or post-contrast imaging. It demonstrates mild somewhat heterogeneous post-contrast enhancement. The endometrial myometrial junction is relatively preserved. The inner myometrium/junctional zone is normal in signal intensity and thickness, measuring 8 to 9 mm.In the left uterine body extending to the fundus is an intramural/subserosal well-defined mass measuring 8.7 x 7.8 cm demonstrating T1 weighted isointensity to the myometrium with regions of mild T1 hyperintensity and T2 weighted mild hyperintensity with smaller regions of hypointensity. The lesion demonstrates gradual heterogeneous enhancement similar in intensity to the remainder of the myometrium. Findings suggest a fibroid with myxoid degeneration. The cervical mucosal is normal in signal intensity. There is minimal cervical luminal fluid and small nabothian cysts.The ovaries are normal in morphology and size. The left ovary measures 3.7 x 2.3 cm. The right ovary measures 3.0 x 2.8 cm. They contain numerous follicles. The para-ovarian soft tissues are unremarkable.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific prominent external iliac and inguinal lymph nodes. A left external iliac lymph node measures 2.2 x 0.9 cm.Small subcentimeter nonspecific mesorectal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.The endometrium is thickened up to 19 mm, upper limits of normal, correlate with the phase of the patient's menstrual cycle. The endometrium is mildly T2-hyperintense and demonstrates mild somewhat heterogeneous enhancement, without a discernable mass lesion or myometrial invasion. 2.8.7 cm left uterine body/fundus intramural/subserosal probable fibroid with suspected myxoid degeneration.3.Normal adnexa. 4.Non-specific mildly prominent external iliac and inguinal lymph nodes. 