The MRI sequences demonstrate:
Enlarged uterus with diffuse thickening of the junctional zone endometrium-myometrium (15 mm) in keeping with diffuse adenomyosis
Well-defined right ovarian complex cystic mass with fat-fluid level. The fatty component is attenuated on fat sat sequences. A floating ball is noted within the fluid component of intermediate signal on both T1 and T2 with no enhancement seen on postcontrast sequences
small unilocular cyst of the right ovary (2 cm) most likely a serous inclusion cyst