MRI Results - How Do I Interpret Them?

May 18, 2004

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

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