Cervical fibroid

Clinical History:
This is a 51-year-old postmenopausal female with lower abdominal and pelvic pain for a few weeks. The ultrasound showed revealed a cervical lesion, suspicious for a cervical mass versus fibroid.

Diagnosis:
Cervical fibroid

MR Technique:
3.0 T scanner (Siemens Verio) using a body flex coil coupled with a spine coil. Image 1: sagittal T2-weighted image (TR/TE 5000/88 ms, scan time 3 min 52 sec, slice thickness 4 mm); Image 2: axial T1-weighted image (TR/TE 819/12 ms, scan time 4 min 2 sec, slice thickness 4 mm); 0.1 mmol/kg of gadolinium chelate was then administered, to produce Image 3: axial T1-weighted image with fat saturation (immediately after contrast administration, TR/TE 4.6/2 ms, scan time 19 sec, thickness 3 mm); and Image 4: axial T1-weighted image with fat saturation (6 minutes after contrast administration, TR/TE 4.6/2 ms, scan time 19 sec, thickness 3 mm).

Imaging Findings:
A 2.6 x 2.8 x 2.4 cm (CC x TV x AP) well defined lesion is present in the posterior cervix, which appears of homogenous intermediate signal intensity on T2-weighted images. After gadolinium administration, there is uniform enhancement. The mass, consistent with a fibroid, deviates the cervical canal ventrally.