MRI Results

Can someone put this in simpler terms for me?

Multiple large masses seen throughout the abdomen and pelvis which

likely all arise from the uterus. The masses are heterogeneously

hypointense T2 and isointense on T1. No internal T1 hyperintensity to

suggest hemorrhage. No cystic changes to suggest degeneration/necrosis.

No intralesional fat.

The dominant masses are as follows (measurements in TV by AP by cc):

• Superior fundal pedunculated, 15 x 7.6 x 15.2 cm. The superior margin

  is at the level of the porta hepatis.

  -Left lateral pedunculated, 8.3 x 6.7 x 14.5 cm. It is causing mild mass

  effect on adjacent bowel loops.

  -Right lateral subserosal 6.5 x 7 x 6.2 cm

  -Intramural with submucosal extension 1.6 x 1.8 x 1.5 cm.

  -Posterior pedunculated in the pelvis rectouterine pouch 10 x 10.7 x 9.7

  cm.

  -Intramural junctional zone with submucosal extension 16 mm

  -Multiple, at least 12 other scattered intramural and subserosal masses

  measuring up to 3.7 cm

  On postgadolinium sequences majority of the masses are heterogeneous

  enhancement. The largest superior pedunculated fibroid mass is mildly

  relatively hypoenhancing.

  Junctional zone thickness up to 6 mm, within normal limits. The uterus is

  mildly displaced anteriorly and to the right due to mass effect from the

  fibroids. There is a arcuate morphology of the endometrial horns.

  Endometrial thickness up to 12 mm.

  In the left adnexa region is a 18 mm cyst, likely ovarian. Multiple

  smaller subcentimeter follicle seen. The left ovary does appear mildly

  enlarged compared to the right with mild increased T2 signal. The right

  ovary is unremarkable.

  Trace pelvic free fluid. Mild left adnexal free fluid. No focal

  collections. 2 hepatic cysts in the visualized liver, largest 11 mm.

  Gallbladder, biliary tree, pancreas, spleen, adrenals and kidneys are

  unremarkable. No bowel obstruction.

  No sinister osseous lesion.

  IMPRESSION:

  Significant burden of large multifocal uterine leiomyomatosis.

  Approximately 20 fibroids are identified and the largest pedunculated

  measuring up to 15 cm extending to the level of the porta hepatis. No

  associated hemorrhage or degeneration. Majority of the lesions are

  heterogeneously enhancing with the largest dominant lesion mildly

  hypoenhancing relatively. 2 smaller intramural fibroids with submucosal

  component are identified. Background of arcuate morphology of the uterus.

  Left ovary appears mildly edematous and enlarged compared to the right

  ovary. Background of left ovarian follicles.

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