Uterine fibroids and bilateral endometriomas
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Chronic pelvic pain, primary infertility and intermittent vaginal bleeding.
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Enlarged uterus measuring about (10.5 x 9.2 x 10 cm at its AP, TV, and CC dimensions) presenting multiple variable-sized well defined focal lesions/ masses attaining sub-serous &intramural locations, eliciting intermediate to low signal at T1 and low signal at T2 pulse sequences with minimal enhancement in post-contrast study as well as the characteristic whorly appearance. The largest is in anterior uterine intra-mural location measures about 5.1 x 4.6 cm, some of them showing small areas of non-enhanced cystic degenerations.
Left adnexal likely ovarian cystic lesion is noted measuring about 9.7 x 7.3 cm at max. diameters with slightly thickened wall, eliciting high T1 and intermediate to low T2 (shading artifact) as well as not suppressed at FAT SAT images and no enhancement at post-contrast series except for mild mural enhancement.
Moreover, right ovarian bilocular cysts one of them is a simple cyst (of low T1, bright T2 with no enhancement detected),the other cyst is seen measuring about 3.7 x 3.2 cm eliciting high T1 and intermediate to low T2 (shading artifact) as well as not suppressed at FAT SATR images.
No pelvic fluid collection detected.