The uterus is diffusely enlarged, showing multiple innumerable leiomyomas (fibroids) of various size and location (submucosal, interstitial and subserous). They demonstrate a low to intermediate signal intensity (as compared with the normal myometrium) on T1, low signal intensity on T2 (non-degenerated leiomyomas) with heterogeneous enhancement following IV contrast. A large pedunculated leiomyoma of submucosal location is noted, prolapsing into the vagina through a distended endocervical canal.
A free intraperitoneal ascites is noted most likely due to a ruptured left ovarian cyst for which she had an ultrasound week ago.