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Ultrasound Imaging📍 UterusUpdated 2025-12-15Radiology Reviewed

Uterine Fibroid (Leiomyoma)

Understanding Uterine Fibroid (Leiomyoma) found on Uterus Ultrasound Imaging imaging. Learn what this finding means and what steps to take next.

Radiographic Appearance

Ultrasound Imaging Finding

Well-circumscribed hypoechoic mass with shadowing; may be submucosal, intramural, or subserosal.

Clinical Significance

Benign smooth muscle tumor; can cause bleeding, pain, or fertility issues.

What is a Fibroid?

Common benign uterine tumor. Ultrasound classifies location and guides treatment options.

Imaging Appearance

  • Solid hypoechoic lesion with posterior shadowing
  • May distort uterine contour or cavity
  • Degenerative changes can alter echogenicity

Clinical Significance

  • Symptoms: heavy bleeding, pressure, infertility, miscarriage risk
  • Location matters for management (e.g., submucosal)

Symptoms

  • Menorrhagia, pelvic pressure, bulk symptoms

Diagnosis

  • Pelvic ultrasound; saline infusion sonography for cavity mapping

Treatment

  • Observation if asymptomatic
  • Medical: hormonal therapy, tranexamic acid
  • Procedural: myomectomy, uterine artery embolization, hysterectomy depending on goals

Prognosis

  • Benign; growth influenced by hormones

What Should You Do?

  1. Track bleeding and anemia symptoms.
  2. Discuss fertility goals to tailor treatment.
  3. Seek care for rapid growth or severe pain.

Medical Disclaimer: Educational only; follow gynecology guidance.

Correlate with Lab Results

Doctors often check these blood tests when Uterine Fibroid (Leiomyoma) is found on imaging:

Related Imaging Terms

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Uterine Fibroid (Leiomyoma) on US Scan: Meaning, Causes & Next Steps