Large heterogeneous non-enhancing 17 x 13.2 x 17.3 cm uterine fundal mass lesion with streaks of air density, suggestive of infarcted uterine fibroid with necrotized component and breached surface (discontinuity) mainly in the fundal region is noted with leakage of component including air and fluid to the abdominal cavity suggestive of likely ruptured necrotized fibroid.
Moderate amount of rather dense ascites and free intra-peritoneal air (pneumoperitoneum) is noted with relative thickening of the peritoneal wall and mild enhancement.