History of endometrial thickening. PELVIS:UTERUS, ADNEXA: The uterus measures approximately 8.0 x 6.7 cm in the sagittal plane.The endometrium/endometrial canal is thickened up to 2.0 cm with predominantly T2 weighted hyperintense heterogeneous signal with thin septations. There is no abnormal nodular postcontrast enhancement, however some of the septations may enhance as seen on the subtraction images. The inner myometrium/junctional measures approximately 4 mm in greatest thickness, within normal limits. It is distorted posteriorly by large fibroids. The largest fibroid is a right sided intramural/subserosal uterine body fibroid measuring 5.1 x 4.1 cm in the sagittal plane. A left-sided intramural/submucosal fibroid distorting the endometrial cavity measures 3.0 x 2.7 cm. Near the fundus there is a 2.0 x 1.9 cm submucosal fibroid.Nabothian cystic changes or small amount of fluid in the cervical canal.The parametrial soft tissues are unremarkable. The vaginal canal is unremarkable.Atrophic bilateral ovaries without a focal lesion.BLADDER: Partially distended urinary bladder without a focal abnormality.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative disc disease at L5-S1.OTHER: No significant abnormality noted.
1.Endometrium/endometrial canal thickening up to 2 cm with possibly enhancing septations but no discrete nodular enhancement, findings may represent endometrial hyperplasia, however an early stage endometrial carcinoma cannot be excluded. Correlate with adequate endometrial biopsy/sampling.2.Several enhancing fibroids with the largest measuring 5.1 cm as described above, including submucosal fibroids. 