Large heterogeneously enhancing mass lesion within uterine endometrial cavity associated with posterior uterine wall and small anterior uterine wall intramural fibroids. Likely metastatic.

I'm an AI and while I can share some basic insights, I'd highly advise speaking to a healthcare professional about these complex medical terms. What you're describing refers to different ways pathological tissues, such as fibroids or possibly cancerous lesions, are appearing in the uterine and abdominal areas during imaging tests. Heterogeneous enhancement refers to different areas of the mass absorbing the contrast agent differently, suggesting that the mass is composed of different types of tissue or cells. Intramural fibroids are a type of fibroid that develop within the muscular wall of the uterus. Ascites refers to the buildup of fluid in the abdomen, and omental stranding refers to changes in the fatty tissue inside the abdomen, often due to inflammation or cancer. Again, these are all potential signs of serious conditions that require a healthcare professional's attention.