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Uterine leiomyoma

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Vaginal bleeding

Patient Data

Age: 40 years
Gender: Female
mri

Multiple small, well defined lesions in uterine body, transmural, appear isointense in T1W and markedly hypointense in T2W images, and show heterogenous enhancement in t1_vibe post contrast.

The largest in uterine fundus, causes splaying the endometrial cavity superiorly.

The right and left ovaries are unremarkable.

Case Discussion

Multiple small uterine lesions, markedly hypointense T2W signal, intramural, suggestive uterine leiomyomas.

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