What imaging study was performed given her history of fibroids?

• A. Abdominal ultrasound
• B. MRI pelvis
• C. Transvaginal ultrasound
• D. CT pelvis

Answer: (C)

When fibroids are in play, the first and most informative imaging study is a transvaginal ultrasound. Its position right next to the uterus gives high-resolution images of the endometrium and myometrium, letting you see the number, size, and location of fibroids, including submucosal ones that can cause heavier bleeding. It’s quick, cost-effective, and avoids radiation.

Abdominal ultrasound can image the uterus but is less sensitive for smaller fibroids and can be limited by body habitus or bowel gas. MRI pelvic imaging provides excellent detail and is best for complex cases or surgical planning when ultrasound isn’t definitive. CT pelvis isn’t ideal for fibroid evaluation due to lower soft-tissue contrast for uterine structures and unnecessary radiation.

So, the study performed given her history is transvaginal ultrasound.