Intramural fibroid on MRI

Case contributed by Dr Shailaja Muniraju

Presentation

History of irregular cycles. Intermittent lower abdominal pain.

Patient Data

Age: 48
Gender: Female
MRI

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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Case information

rID: 50075
Case created: 17th Dec 2016
Last edited: 21st Dec 2016
System: Gynaecology
Inclusion in quiz mode: Included

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