Pelvic mass palpable on physical examination.
CT Abdomen and pelvis
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Scout image shows popcorn calcifications within the pelvis.
Coronal reformatting shows large uterine mass with lobulated margins and multiple coarse calcifications.
The patient also has a large known hepatic hemangioma (not adequately show in this sequence) and partial right ureteral duplication.
1 case question available
On CT images, fibroids are usually of soft tissue density but may exhibit coarse peripheral or central calcification, as in this case. Enhancement pattern is variable.
The patient underwent a hysterectomy and the diagnosis was further confirmed on pathological examination.