Huge subserosal uterine leiomyoma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Pelvic discomfort.

Patient Data

Age: 65 years
Gender: Female

Huge subserosal uterine leiomyoma arising from the right lateral uterine wall, compressing and displacing the bladder anteriorly. It elicits an isosignal to the myometrium on T1, low signal intensity on T2 with central areas of T2 high signal (cystic degeneration/necrosis). Another small intramural leiomyoma is also noted.

Case Discussion

Features of a huge subserosal leiomyoma (Figo 6) with small adjacent intramural leiomyoma.

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