Intramural Fibroid Ultrasound Report Example | Uterine Leiyomyomas | Uterus Sonography | Radiology
Ultrasound Report:
Clinical History: 35-year-old female presenting with heavy menstrual bleeding and pelvic discomfort.
Findings:
Uterus: The uterus is anteverted, measuring 9.5 cm in length, 5.0 cm in AP diameter, and 6.0 cm in width. The myometrium demonstrates homogeneous echotexture.
Endometrium: The endometrial thickness is within normal limits at 8 mm.
Ovaries: Both ovaries are normal in size with no adnexal mass or free fluid in the pelvis.
Fibroid Details:
A single intramural fibroid is identified in the anterior myometrium of the uterus.
It measures approximately 3.0 cm x 2.5 cm.
The fibroid is well-circumscribed, showing a heterogeneous echotexture consistent with degenerative changes.
No additional fibroids were detected.
Impression:
A single intramural fibroid measuring 3.0 cm x 2.5 cm in the anterior myometrium of the uterus, likely contributing to the patient's symptoms of heavy menstrual bleeding and pelvic discomfort.
No evidence of ovarian pathology or free pelvic fluid.
Follow-up ultrasound in 6 months is recommended to monitor the fibroid size and assess for any changes in symptomatology.