Daily Dx: Polymenorrhea and Pelvic Pain

May 14, 2013

There is a clearly defined rounded mass just below the endometrial stripe of the uterus. The endometrium itself appears normal in thickness ruling out hyperplasia.The mass is within the uterine fundus and body ruling out a cervical mass.

This middle aged patient complained of polymenorrhea and pelvic pain. Transvaginal images are shown below. What is your diagnosis?