Uterine lipoleiomyoma

Case contributed by Mohamed Saber
Diagnosis almost certain

Presentation

Pelvic pain

Patient Data

Age: 70 years
Gender: Female

Transvaginal ultrasound

ultrasound
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Longitudinal
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Ultrasound study shows left lateral uterine wall well-defined ovoid hyperechoic mass with a partially hypoechoic rim and posterior acoustic attenuation

mri
This study is a stack
Axial
T1
This study is a stack
Axial T1
fat sat
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Coronal
T1
This study is a stack
Coronal T1
fat sat
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Axial
T2
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Axial
STIR
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Coronal
T2
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Sagittal
STIR
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Coronal
STIR
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Axial
DWI
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Axial
ADC
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Axial
T1 C+
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Coronal T1
C+ fat sat
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MRI study shows left lateral wall uterine well-defined ovoid slightly lobulated mass lesion centered upon the uterine myometrium measures 30 x 25 x 25 mm on its largest ap, tr, and cc dimensions respectively. It elicits heterogeneous signal intensity, with internal hyperintense areas on T1 and T2 that suppressed on T1 fat sat and STIR sequences respectively consistent with fatty contents. Minimal enhancement is noted on the post-contrast study.

No adnexal masses.

No pelvic collection.

Case Discussion

Uterine lipoleiomyomas result from degeneration of smooth muscle cells in an ordinary leiomyoma and represent a rare benign tumor of the uterus

Additional contribution from the radiologist; Dr Somia Elbadawy

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