Reason: AUB, Recent h/o hysteroscopic myomectomy w/ myosure. Evaluate for adenomyosis History: AUB, pelvic pain PELVIS:UTERUS, ADNEXA: The uterus anteverted and anteflexed in position and is normal in size with reference measurements below. The endometrial stripe is not abnormally thickened. There are multiple (at least 3) intramural fibroids the largest of which is in the left anterior uterine body which causes mass effect on the endometrial canal with reference measurements below. There is heterogeneously increased T2 signal within the myometrium as well as poor definition of the junctional zone as well as a lobular contour of the uterus which are nonspecific but can be seen with adenomyosis. No intrinsic T1 shortening is identified to suggest blood products.A NuvaRing device is noted within the vaginal fornix.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.INDEX LESION MEASUREMENTS (Current exam date/time: 9/22/2016 14:35:07)UTERUS: 5.8 cm (Image 43, Series 401); 5.0 x 8.7 cm (Image 42, Series 901).RIGHT OVARY: 3.2 cm (Image 24, Series 601); 2.9 x 1.9 cm (Image 28, Series 801).LEFT OVARY: 3.1 cm (Image 25, Series 601); 2.5 x 1.7 cm (Image 27, Series 801).INTRAMURAL FIBROID: 1.7 x 2.3 cm (Image 20, Series 801).
1.Multiple uterine fibroids as described above.2.Findings suggestive of adenomyosis.