MRI
Sagittal T2
Coronal T2
Coronal STIR
Coronal T1
Axial T1
Axial STIR
Axial T2
Axial DWI
Axial ADC
Coronal T1 C+
Axial T1 C+
The uterus shows multiple small interstitial fibroids showing typical features of fibroid being of isointense signal on T1 and low signal on T2 WI with minimal post-contrast enhancement and no diffusion restriction.
However, there is a large right subserosal fibroid with atypical imaging features including high signal on T2 WI with mild heterogeneity, diffusion restriction with mildly low ADC values, and intense post-contrast enhancement. No internal areas of breakdown or hemorrhage.