43 year old female with a history of uterine fibroids. Status post bilateral uterine artery embolization. PELVIS:UTERUS, ADNEXA: Again seen is a myomatous uterus. The largest reference intramural posterior mid-body leiomyoma measures 6.3 x 5.6 x 5.1 cm (TR by AP by CC), previously 6.3 x 5.5 x 4.9 cm (series 601 image 37). There is persistent heterogeneous enhancement, which appears slightly decreased when compared to the prior study.Again seen are multiple additional fibroids measuring up to 2.0 cm which demonstrate persistent enhancement. The reference subserosal, pedunculated, fibroid arising off the anterior fundus measures 1.6 cm, previously 1.4 cm (22; series 901).There is thickening of the endometrium measuring up to 2.9 cm in diameter, with associated multiple subcentimeter foci of fluid signal intensity, which is nonspecific but suggestive of adenomyosis. Note is made of multiple small nabothian cysts. The reference collection in the right vaginal introitus measures 2.8 cm, previously 2.7 cm, compatible with a Gardner's duct cyst. There is a nonenhancing 2.9 cm collection in the expected location of the right adnexa which may represent a physiologic cyst, new from prior examination.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.
1.Persistent enhancement of multiple reference uterine fibroids which appear similar in size when compared to the prior study.2.Thickening of the endometrium with foci of subcentimeter cysts suggestive of adenomyosis without evidence of focal adenomyoma.3.Nonenhancing 2.9 cm right adnexal fluid collection may represent a physiologic cyst. 