Female | 47
What are the findings of the Gyencologist MRI with Gadolinium report?
Please opine how to proceed regarding the following Gyencologist MRI with Gadolinium report: Technique: MRI pelvis with IV contrast. Comparison: No previous similar study. Findings: The uterus is enlarged and retroverted, measuring 9.3 x 9 x 8.3 cm. there are 3 subserosal pedunculated fibroids, the largest arising from the anterior fundal region measuring 5.6 x 6.2 x 7.2 cm, the second lesion seen arising from the left lower uterine/cervix junction measuring 5.5 x 4.5 x 4 cm and the third fibroid seen at the right lower uterine/cervix junction measuring 4.7 x 2.5 x 2.3 cm. There are multiple intramural fibroids, around 6 lesions, the largest seen at the left fundal region measuring 2.7 x 2.7 x 2.7 cm and the second largest lesion seen at the right fundal region measuring 3 x 2.7 x 3.4 cm. These fibroids demonstrate low T2 signal intensity without diffusion restriction. Postcontrast demonstrate hypoenhancement relative to the myometrium. The endometrium measuring 0.8 cm in thickness and junctional zone measuring 0.7 cm in thickness. There is posterior fundal illdefined focal subserosal lesion measuring 4.4 x 2.8 x 2.8 cm with an illdefined margins and intermediate low T2 signal intensity in addition to internal subcentimeter tiny foci of T2 hyperintensities could represent adenomyoma. Both ovaries are unremarkable and containing a few follicles. No ascites or enlarged lymph nodes. The rectosigmoid junction is compressed by the enlarged uterus. Trace pelvic free fluid noted, likely physiologic. Urinary bladder is moderately compressed anteriorly.
Gynecologist/Obstetrician
Answered on 15th Apr '24
Depending on the MRI with Gadolinium result, the patient seems to have a uterus overgrown with numerous fibroids. The fundal anterior area has the biggest fibroid. Intramural fibroids are also present. These fibroids show hypointense T2 signal intensity and hypovascularity on post-contrast images. Please visit a gynecologist for a proper evaluation of your reports
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