MRI - Pelvis
Sagittal T2
Axial T2
Axial T1
Axial T1 fat sat
Coronal T2
Coronal T1 C+ fat sat
Axial DWI
Axial ADC
The uterus is enlarged measuring 11 x 9.4 x 5.8 cm. It shows multiple prominent intra-uterine serpentine vasculature. A rather defined (5cm) irregular lesion is noted at the right lateral wall, displaying T1 and T2 hyperintense signal, with diffusion restriction. Following IV contrast injection. It shows hypo enhancement, in keeping with intraparenchymal uterine haematoma.
It is continuous with thick wall recto-uterine space collection noted 11 x 7.8 x 2.6 cm, displaying T1 and T2 hyperintense signal with mild peripheral enhancement. Evident restriction on DWI/ADC, in keeping with late subacute hematoma. Smaller similar lesion seen at the left wall measuring 1.2 cm.
Multiple small cervical Nabothian cysts.
LV5/SV1 minimal spondylolisthesis, with diffuse posterior pseudo disc bulge