52-year-old female with chronic pelvic pain. PELVIS:UTERUS, ADNEXA: There is a large intramural fibroid in the uterine fundus measuring 10 x 10 x 9.7 cm (series 5, image 18 and series 4, image 20). There is a smaller subserosal fibroid located anteriorly. It initially treated T1 and T2 hypointense fibroid is noted anteriorly. All three of the fibroids demonstrate enhancement.Unchanged T1 hyperintense right adnexal lesion with "T2 shading" is most compatible with an endometrioma. Smaller left adnexal lesions. Normal endometrial thickness.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Unchanged enhancing T2 hyperintense lesion in the S1 vertebral body is compatible with a hemangioma.OTHER: No significant abnormality noted.
1.Enlarged myomatous uterus containing enhancing fibroids.2.Unchanged endometrioma in the right adnexa. Similar lesion in the left adnexa is unchanged.