67-year-old female with pelvic pain PELVIS:UTERUS, ADNEXA: Extremely large fibroid uterus is noted extending to the inferior edge of the liver. Numerous T2 hypointense fibroids are noted primarily in the lower uterine segment. The largest fibroids are noted in the uterine fundus both within the anterior and posterior walls. The largest fibroids demonstrate contrast enhancement. Many submucosal fibroids distort the endometrial canal.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: T2 isointense round focus in the spinal canal, likely intradural, extra medullary is seen at the T12 level.OTHER: Partially imaged T2 hyperintense minimally complex renal cysts are noted bilaterally.
1.Extremely large fibroid uterus as described above. 2.Probable intradural, extra medullary lesion is seen at the T12 level. A lumbar spine MRI with and without contrast is suggested for further evaluation. 3.Minimally complex renal cysts are noted bilaterally, incompletely imaged.Findings could not be text paged to the ordering physician GOODALL, PERPETUA, T. so an EPIC INBOX message was sent to GOODALL, PERPETUA T and VAUGHAN, ERIN F. at 1629 on 11/04/2016. 