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What do you see?
The AP view of the lumbar spine shows a curvi-linear density superimposed on the proximal sacrum. The latearal view shows the cyst/mass like density to be intra-peritoneal in location which measured 9.3 cm. in transverse dimension on initial x-ray interpretation. Mild spondylosis is present at L3 & 4. A diagnostic US of the pelvis was ordered.
TEACHING POINTS:
Uterine fibroids are synonymous with uterine leiomyomas or myomas.
Approximately 20-30 % of females of reproductive age will develop this most common gynecologic tumor.
A patient with a 6.0 pound uterine fibroid (post-surgical specimen) is the author’s most vivid recollection of this condition!
The diagram below shows common locations for uterine based fibroids.
Ultrasound is the inital investigative modality.
MRI adds further evaluation of enlargement & assessment of submocosal lesions. This tool also helps characterize aggressive lesions from the more common fibroid.
COMMON LOCATIONS FOR UTERINE FIBROIDS.
REFERENCES:
Case compliments of Dr.Permenter, DC Charlotte, North Carolina.
At ProImaging we provide expert chiropractic radiology interpretation.