Huge intramural fibroid
Lower abdominal pain and vaginal discharge.
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Two (A and B) large, well defined, intramural lesions displacing the endometrial cavity (open arrows) toward the right side and posteriorly.
The lesions demonstrate low signal intensity on T1WI and high signal intensity on T2WI. Heterogeneous post contrast enhancement is noted with non-enhancing areas (cystic degeneration).
No adjacent infiltrative/inflammatory changes. No enlarged pelvic lymph nodes. No free fluid in the pelvis.
Uterine fibroids (leiomyomas) are common, benign uterine lesions. They are usually detected incidentally but if large enough, they can present as palpable masses.
Case submitted by Dr Hidayatullah Hamidi and Dr. Najibullah Rasouly