Can someone put this in simpler terms for me? Multiple large masses seen throughout the abdomen and pelvis which likely all arise from the uterus. The masses are heterogeneously hypointense T2 and isointense on T1. No internal T1 hyperintensity to suggest hemorrhage. No cystic changes to suggest degeneration/necrosis. No intralesional fat. The dominant masses are as follows (measurements in TV by AP by cc): - Superior fundal pedunculated, 15 x 7.6 x 15.2 cm. The superior margin is at the level of the porta hepatis. -Left lateral pedunculated, 8.3 x 6.7 x 14.5 cm. It is causing mild mass effect on adjacent bowel loops. -Right lateral subserosal 6.5 x 7 x 6.2 cm -Intramural with submucosal extension 1.6 x 1.8 x 1.5 cm. -Posterior pedunculated in the pelvis rectouterine pouch 10 x 10.7 x 9.7 cm. -Intramural junctional zone with submucosal extension 16 mm -Multiple, at least 12 other scattered intramural and subserosal masses measuring up to 3.7 cm On postgadolinium sequences majority of the masses are heterogeneous enhancement. The largest superior pedunculated fibroid mass is mildly relatively hypoenhancing. Junctional zone thickness up to 6 mm, within normal limits. The uterus is mildly displaced anteriorly and to the right due to mass effect from the fibroids. There is a arcuate morphology of the endometrial horns. Endometrial thickness up to 12 mm. In the left adnexa region is a 18 mm cyst, likely ovarian. Multiple smaller subcentimeter follicle seen. The left ovary does appear mildly enlarged compared to the right with mild increased T2 signal. The right ovary is unremarkable. Trace pelvic free fluid. Mild left adnexal free fluid. No focal collections. 2 hepatic cysts in the visualized liver, largest 11 mm. Gallbladder, biliary tree, pancreas, spleen, adrenals and kidneys are unremarkable. No bowel obstruction. No sinister osseous lesion. IMPRESSION: Significant burden of large multifocal uterine leiomyomatosis. Approximately 20 fibroids are identified and the largest pedunculated measuring up to 15 cm extending to the level of the porta hepatis. No associated hemorrhage or degeneration. Majority of the lesions are heterogeneously enhancing with the largest dominant lesion mildly hypoenhancing relatively. 2 smaller intramural fibroids with submucosal component are identified. Background of arcuate morphology of the uterus. Left ovary appears mildly edematous and enlarged compared to the right ovary. Background of left ovarian follicles.