Uterine fibroids, preimaging prior to UFE PELVIS:UTERUS, ADNEXA: Fibroid uterus. Dominant fibroid seen measuring 8.2 x 7.3 cm (image 28 series 501), exerts mass effect on adjacent endometrial stripe and while fibroid is primarily intramural, underlying submucosal component not excluded. Additional smaller submucosal uterine fibroid also seen measuring 2.2 x 1.5 cm on image 27 series 501. Second largest uterine fibroid is a subserosal one measuring 3.1 x 2.6 cm on image 23 series 501 that deviates the rectosigmoid colon leftward, see coronal image 24 series 701. Right-sided apparently intramural fibroid seen measuring up to 1.8 cm on image 28 series 501; another seen measuring up to 1.9 cm on left side on image 23 series 501. An additional enhancing 1.5 cm subserosal fibroid seen on image 92 series 1101. MR technologist did not acquire precontrast fat-saturated T1 sequence but based on subjective comparison of postcontrast imaging to T1 imaging sequence, aforementioned fibroids appear to demonstrate avid postcontrast enhancement, increasing on progressively delayed imaging consistent with fibrous nature. Difficult to appreciate junctional zone anteriorly due to patient's large dominant fundal fibroid but visualized portions appear to be within normal limits, going against adenomyosis. Ovoid T2 and T1 hypointense focus seen at level of the vagina on image 20 series 501 may reflect a nonspecific focus of air. Small follicles noted in both ovaries.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Right larger than left Bartholin's cysts, measuring up to 2.3 cm. Corresponding T1 hyperintensity likely reflects underlying hemorrhage or proteinaceous material.OTHER: Small pelvic free fluid, likely physiologic.
1. Fibroid uterus as above.2. Right larger than left Bartholin's cysts, complex and containing hemorrhage or proteinaceous material.