Re: MRI Results - How Do I Interpret Them?

[Guest guest]

The IR finally called tonight and said that I had a large fibroid resting on my

rectum and one on my bladder.

I saw the GYN today as well and she recommends a hyst. The IR does too, as he

said my fibroids are too numerous.

I am still trying to get over the fact that I can't have a UAE (because of

pedunculated fibroids).

Annette

[Guest guest]

Annette,

Translation: There are 3 fibroids identified on the MRI. One is one and a

half inches in diameter and at the top of the uterus. Another fibroid is

attached by a stalk to the top of the uterus near the left side and is two

and a half inches in diameter. Another fibroid is also on a stalk and is on

the back of the uterus in the area where the body of the uterus narrows to

form the cervix. This fibroid is about four and a half inches in diameter.

While your ovaries are not easily seen on the MRI (they never are), there

are no tumors or cysts seen (so this is reassuring).

There are two confusing things about this report. It says that the

junctional zone (the area between the uterine lining cells and the uterine

muscle wall) is not seen very well. This may indicate adenomyosis, a

condition caused by the uterine lining cells growing into the uterine muscle

wall. Secondly, it says that there is no normal uterine muscle seen. You

should ask if the radiologist suspects adenomyosis or if there are other

smaller fibroids that fill up the uterine wall and that they just did not

measure individually. If you don't get satisfactory answers to these

questions, take your films to another radiologist with experience reading

MRI and get a second opinion. I hope this is of some help.

Bill , MD

MRI Results - How Do I Interpret Them?

I have my MRI report and the films too. The films are hard to look at, and I

would like to have an interpretation, but oh well, I don't know how to get

one.

Does anyone know how to read the results? I will type it here:

Findings: The uterus is enlarged and lobulated. The overall size of the

uterus is at least 13.4 x 8.6 x 11.2 cm in greatest craniocaudad, AP and

transverse dimensions respectively. There is no normal identifiable

myometrium. I believe the uterus is anteverted. In the expected region of

the fundus, there is a large ovoid-shaped hypointense mass posteriorly,

consistent with a large fibroid. This use to be submucosal in location. This

measures 3.9 x 2.8 x 2.7 cm. It has decreased in T2 signal, typical of a

leiomyoma. The remainder of the myometium is remarkable for additional

hypointense masses, although they are not as hypointense as the first mass

described. There is a large hypointense mass identified arising from the

left lateral aspect of the fundus, measuring 5.5 x 5.8 x 4.6 cm. This is

consistent with a pedunculated fibroid. Only a very small portion of the

fibroid contacts the uterus. There is a very large mass seen posteriourly in

the expected region of the lower uterine

segment to the left of midline. The mass is somewhat unusual in signal

charachteristics in that it is higher on the T2 sequences, but is isointense

on T1 sequences. This mass measures 9.2 x 6.1 x 6.5 cm. This is certainly a

subserosal mass is likely pedunculated. It may connect to the uterus along

the left lateral aspect of the lower uterine segment, but I suspect it is

pedunculated from a portion of the uterine body. Less than 50% of the

surface area contacts the uterus. The junctional zone is entirely obscured.

Neither ovary is seen with confidence. There is however, no evidence of

adnexal mass. There is no free pelvic fluid. The urinary bladder is

decompressed for this examination.

Impression: Enlarged myomatous uterus with at least one pedunculated fibroid

arising from the left lateral aspect of the fundus, measuring up to 5.8 cm.

There is another large mass along the left aspect of the uterus that is at

least subserosal and I suspect it is pedunculated. This demonstrates diffuse

increase in signal, suggesting degeneration of the fibroid.

Whew! It sounds like yucky stuff! Any insight from anyone would be

appreciated. I'm looking through my fibroid books and not finding the

answers.

Annette

MEETUP! with other local women who have Uterine Fibroids.

http://uterinefibroids.meetup.com

[Guest guest]

Dr. ,

Thank you very much. I will definitely speak to the radiologist about your

concerns.

I spoke to him earlier this evening (before I saw your response) and he said I

had numerous fibroids and should get a hysterectomy because of this. He said one

fibroid was pressing on my rectum and one on my bladder. I'm curious why the

report doesn't mention specifics like this.

Annette

wparker@...> wrote:

Annette,

Translation: There are 3 fibroids identified on the MRI. One is one and a

half inches in diameter and at the top of the uterus. Another fibroid is

attached by a stalk to the top of the uterus near the left side and is two

and a half inches in diameter. Another fibroid is also on a stalk and is on

the back of the uterus in the area where the body of the uterus narrows to

form the cervix. This fibroid is about four and a half inches in diameter.

While your ovaries are not easily seen on the MRI (they never are), there

are no tumors or cysts seen (so this is reassuring).

There are two confusing things about this report. It says that the

junctional zone (the area between the uterine lining cells and the uterine

muscle wall) is not seen very well. This may indicate adenomyosis, a

condition caused by the uterine lining cells growing into the uterine muscle

wall. Secondly, it says that there is no normal uterine muscle seen. You

should ask if the radiologist suspects adenomyosis or if there are other

smaller fibroids that fill up the uterine wall and that they just did not

measure individually. If you don't get satisfactory answers to these

questions, take your films to another radiologist with experience reading

MRI and get a second opinion. I hope this is of some help.

Bill , MD