History of uterine fibroids. PELVIS:UTERUS, ADNEXA: The uterus is anteverted and mildly retroflexed. The uterus is enlarged with a lobular contour measuring 12.4 x 8.4 cm in the sagittal plane. There are numerous intramural fibroids. The largest intramural fibroid measures 6.1 x 4.8 cm in the sagittal plane at the level of the lower uterine segment. An additional large fibroid measures 5.6 x 4.1 cm in the anterior fundus which distorts and displaces the endometrium, with possibly a small submucosal component. There is a subserosal fibroid measuring 3.5 x 2.9 cm in the dorsal fundus with a broad base.They all demonstrate avid heterogeneous postcontrast enhancement.The endometrium is distorted by the fibroids but demonstrates normal thickness and signal intensity.3.5 cm simple appearing right ovarian cyst. The left ovary is normal morphology and size.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.
Lobular enlarged uterus with numerous, predominantly intramural fibroids demonstrating avid postcontrast enhancement as described above.