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 A leiomyomatous uterus contains leiomyomas, or benign growths, on its muscular wall Leiomyomas are also called myomas, fibroids and fibromyomas because they contain fibrous tissue They are the most common type of pelvic tumor Leiomyomas are common among women in their 40s and 50s and are the main cause of hysterectomies for about 25 percent Normally uterus is of the size of a clenched fist but it can enlarge more than its normal size under certain health conditions like fibroids, adenomyosis, polycystic ovarian syndrome, etc Such an enlarged uterus is called a bulky uterus The bulky uterus can grow as big as a soccer ball during abnormal conditionsHypoechoic myometrial striations have been described as well Uterine Enlargement Differential Radiology Reference Article Radiopaedia Org Enlarged heterogeneous uterus