Uterine leiomyomas

Case contributed by Hani Makky Al Salam
Diagnosis almost certain


Evaluation of pelvic pain.

Patient Data

Age: 40 years
Gender: Female

The uterus is largely replaced by multiple innumerable varying sized and well-demarcated low T2 SI lesions that show enhancement on T1 post-Gad sequences, that is somewhat more heterogeneous in the large lesions. These lesions represent uterine leiomyomas (fibroids), which are intramural in the majority of the lesions, except for one small subserosal and another submucosal lesion.

Case Discussion

Since the lesions are enhancing, this reflects the expected favorable response to uterine artery embolization (UAE) if conducted.

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