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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.