Enlarged uterus measuring about 13 x 12 x 10 cm with distended uterine cavity containing hypodense contents showing mild peripheral enhancement. A small focal bulge is seen along the antero-superior aspect of the uterus which is inseparable from the adjacent small bowel loops. A few small gas foci are seen in the uterine cavity which are suspicious of fistulous tract formation between the uterus and adjacent bowel. No CT evidence of urinary bladder or colonic invasion is seen. Adjacent to the uterus, there is mesenteric fat stranding, peritoneal soft tissue nodules and mild ascites adjacent to the uterus suggestive of peritoneal infiltration of disease. No significant lymphadenopathy or evidence of distant metastases (visceral, osseous or pulmonary) is seen. Two small para umbilical hernias (with one of them containing bowel loop), small hepatic cyst in segment VIII, vascular calcifications in the spleen, relatively smaller right kidney with irregular cortical outlines and bilateral renal cortical cysts. Diffuse osteopenia in the scanned skeleton and compression fracture of D9.