case_images: PMC9905040_01
case_images: Chest X-ray obtained at the first visit revealed widespread decreased permeability of the right lung fields suggestive of a massive pleural effusion.
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case_images: PMC9905040_01_cureus-0015-00000033520-i01.jpg
case_images: FIG1
case_images: Plain chest radiography showed widespread decreased permeability of the right lung fields suggestive of a massive pleural effusion (Figure 1).
case_images: Contrast-enhanced computed tomography scan obtained during the first visit showing: (a) massive pleural effusion and (b) giant uterine fibroids and ascites in Douglas's pouch.
case_images: cureus-0015-00000033520-i02.jpg
case_images: PMC9905040_01_cureus-0015-00000033520-i02.jpg
case_images: FIG2
case_images: Moreover, giant uterine fibroids and ascites were suspected in Douglas's pouch (Figures 2a, 2b). 
case_images: Magnetic resonance imaging of the pelvis revealed multiple uterine fibroids and no findings suggestive of malignancy. (a) T2-weighted sagittal section showing 90 x 100 x 120 mm degenerative uterine fibroids submucosal to intramural in the right anterior wall of the body of the uterus (up arrow), 55 x 30 x 50 mm submucosal uterine fibroids in the fundus of the uterus (left arrow), and other multiple 10-30 mm intramural and subserous uterine fibroids (right arrow). (b) T1-weighted sagittal section showing a signal equivalent to that of the surrounding myometrium
case_images: cureus-0015-00000033520-i03.jpg
case_images: PMC9905040_01_cureus-0015-00000033520-i03.jpg
case_images: FIG3
case_images: On magnetic resonance imaging of the pelvis, degenerative uterine fibroids were considered (Figure 3a, 3b).
case_images: Uterine corpus (x200) showing findings of leiomyoma, that is, the bunching and complicated array of smooth muscle cells without highly atypical cells, nuclear fission, or necrosis.
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case_images: PMC9905040_01_cureus-0015-00000033520-i04.jpg
case_images: FIG4
case_images: A pathological examination of the uterine fibroids led to the diagnosis of smooth uterine leiomyoma (Figure 4).