Pelvic pain for 2 months. Retrocervical mass on outside hospital CT. PELVIS:UTERUS, ADNEXA: The uterus measures 6.7 x 8.2 cm. There are 2 well-defined T2 and T1 weighted hypointense masses dorsal to the uterine body with likely vessels extending from the uterus most suggestive of subserosal fibroids. The largest measures 5.3 x 4.7 cm centered in the rectouterine pouch. The other lesion measures 2.3 x 1.6 cm extending from the left uterine body. Both of these demonstrate gradual avid enhancement.The endometrium/endometrial canal is normal in thickness. Endomyometrium/junctional zone is well-defined and is normal in thickness.The left and right ovary are normal in morphology containing multiple small physiologic follicles.Small nabothian in cysts.A tampon is noted.BLADDER: Normally distended bladder without focal abnormality.LYMPH NODES: Small inguinal and external iliac lymph nodes are likely reactive.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Left lower quadrant subcutaneous fat iatrogenic port-like device.OTHER: No significant abnormality noted.
1.Two lesions in the pelvic cul-de-sac likely represent subserosal fibroids, the largest of which measures 5.3 x 4.7 cm.2.No additional abnormality.