There is a large lobulated midline pelvic soft-tissue mass, compressing the dome of the urinary bladder. It appears isointense to the surrounding soft-tissues on T1-weighted images, iso-to-hypointense on T2 and demonstrates a relatively heterogeneous pattern of enhancement on the contrasted study. This mass is in very close proximity to the anterior surface of the uterine fundus, connected to the uterus by a short pedicle, with multiple tiny tortuous feeding vessels extending from the uterine body to its center.
Findings are consistent with a large pedunculated subserosal uterine leiomyoma.
Two smaller intramural and submucosal uterine fibroids are evident.
A moderate amount of pelvic free fluid is present.