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Patient Name: xxxx
Exam: Pelvic MRI
Exam Date: xx/xx/2000
Clinical Statement: Septate vs bicornuate uterus
Technique: Axial T1, FSE T2 coronal, oblique coronal, axial, and sagittal
Findings: Uterus: 8.6x5.8x7.7cm, antiflexed, septate with septate thickness measuring 3.7cm from external surface of fundus to endometrium. Adenomyosis with focal areas of myometrial low signal on T2 representing fibroids and/or adenomyomata, the largest measuring 2.1x2.0cm. The uterine septum, which is primarily myometrial tissue without a significant fibrous component, is involved with a probable fibroid.
Right ovary: 3.4x4.4x3.4cm associated with a small amount of free fluid posteriorly which extends into the cul-de-sac. Within the ovary there is a suggestion of an involuting cyst which measures approximately 1x1.5. There is generalized hyperintensity of the ovary suggestive of stromal edema
Left ovary: 4.8x1.8x3.5cm
Incidentally noted a focal area of bony sclerosis involving the right sacrum probably represents a benign bone island.
Impression: Septate uterus
Adenomyosis
Uterine fibroids
Dr.xxxxxxxx