Presentation
Vaginal bleeding in a patient with primary infertility.
Patient Data
Age: 40 years
Gender: Female
From the case:
Multiple uterine leiomyomas
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The uterus is diffusely enlarged anteverted retroverted with multiple leiomyomas of various sizes and locations (Figo 1 to 6), the largest leiomyoma is of subserosal location (Figo 6) measuring 18 x 16 x 9 cm. They display an isosignal to the myometrium on T1, low signal on T2 with moderate heterogeneous enhancement on postcontrast sequences. The largest leiomyoma shows central areas of cystic degeneration/necrosis.
Both ovaries appear normal with small follicles.
Case Discussion
MRI features of multiple uterine leiomyomas.
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