Female 67 years old please evaluate atypical fibroid. PELVIS:UTERUS, ADNEXA: There are multiple T2 hypointense fibroids. The largest is a pedunculated anterior fibroid measuring 3.5 x 2.8 cm (series 4, image 17). A larger, well-defined right posterior myometrial mass measures 6.3 x 5.7 x 5.6 cm (series 4, image 21 and series 6, image 17). This mass is isointense to muscle on T1 and heterogeneous on T2-weighted images with areas of T2 bright signal. Heterogeneous enhancement is seen throughout the mass.Fluid and a polypoid endometrial lesion are seen within the endometrial canal.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: Sigmoid colonic diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large right myometrial mass most likely represents a degenerating fibroid. Multiple smaller fibroids are also seen.2.Fluid is seen within the endometrial canal which also contains a polypoid lesion.