Figure 5d. Multiple intramural and subserosal leiomyomas in a 31-year-old woman. (a, b) Axial (a) and sagittal (b) T2-weighted fast SE MR images show a normal endometrial stripe (small black *) and junctional zone (straight arrow). Multiple relatively homogeneous leiomyomas of low to intermediate signal intensity are evident (white *), as are a normal-appearing left ovary (curved arrow in a) and physiologic cul-de-sac fluid (large black *). Two months after surgery, the patient returned for additional imaging because of pelvic pain. (c, d) Axial (c) and sagittal (d) T2-weighted fast SE MR images show that the leiomyomas have been removed. There is a large, unilocular fluid collection within the cul-de-sac that also abuts the left ovary (curved arrow in c) and displaces the uterus anteriorly (straight arrow). The fluid collection was confirmed to be a postprocedural peritoneal inclusion cyst.