Intramural fibroid (MRI)

Case contributed by Shailaja Muniraj
Diagnosis certain


History of irregular cycles. Intermittent lower abdominal pain.

Patient Data

Age: 50 years
Gender: Female

There is a well defined intrauterine fibroid. It is intramural in location, occupying the anterior uterine upper, mid and lower body. It indents the dome of the bladder inferiorly. Intralesional cystic changes noted, presumed to be degenerative changes. It does not indent endometrium.

The right ovary is bulky and contains a well defined cystic lesion. It is thin walled. No restriction on DWI or ADC images. No internal debris / septa / nodule. No features of mass effect or torsion.

Case Discussion

This is a case of intramural uterine leiomyoma with intrinsic cystic degeneration and mass effect on urinary bladder dome.

Also seen is right ovarian follicular cyst.

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