Degenerated fibroid uterus
Lower abdominal pain and feeling pressure in the pelvis associated with urinary frequency.
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C+ portal venous phase
CT through the pelvis demonstrates a large mass continuous with the uterus, which has central fluid density. There is no free peritoneal fluid and the bladder is compressed and empty.
This patient went on to have a hysterectomy which confirmed the presence of a degenerative uterine fibroid.