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HISTORY: INTRAMURAL AND SUBSEROUS LEIOMYOMA

COMPARISON: CT 11/12/2013

TECHNIQUE: Multiplanar images of the pelvis were obtained at 1.5 Tesla prior to and following administration of 6.5 mL of Gadavist intravenous contrast.

FINDINGS:
Uterus: The uterus is enlarged measuring 9.3 cm in length. There is a 2.9 cm intramural fibroid of the let posterior uterine fundus. There is diffuse thickening of the junctional zone of the uterus, suspicious for adenomyosis.

Endometrium: The endometrium is normal in thickness.

Ovaries: There are multiple tiny follicles scattered throughout both ovaries. No adnexal mass.

Urinary Bladder: The urinary bladder appears normal, without stones or wall thickening.

Abdominal Wall: No abdominal wall or inguinal hernia is seen.

Lymphatics: No pelvic lymphadenopathy is present.

Bones: The bones appear unremarkable.

IMPRESSION:

Enlarged fibroid uterus, with a 2.9 intramural fibroid of the left posterior fundus. Diffusely thickened junctional zone of the uterus, suspicious for adenomyosis. No other uterine mass. No adnexal mass.

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