Since pt .is having medical renal disease,she should visit nephrologist.treatment of multiple  seedling fibroid depends on her gynecological complaints ,heavy periods or bowel and bladder problems.age is 48 yes  if no gynae problems no need of tt.but needs follow up usg every 6months.

Medicine or no medicine treatment is enough based on history and symptoms

Hi there. Your uterus has small multiple fibroids and that can be an accidental finding if you do not have any menstrual complaint or any other symptoms related to it. You can just relax if you don't have any complaint.. the size of the fibroids are very small.. need no medicines or surgery if you do not have any complaint. Feel free to contact anytime for further assistance.

If u r suffering from excess menses or frequent menses, then route cause looks like to be uterus with multiple fibroids Whenever single fibroid is available , u can remove only fibroid and preserve ur uterus In case of multiple fibroids , this possibility is not there. If loss of blood has to be avoided to avoid constant anemic stage hysterectomy is advocated Medicines which act on fibroid will less likely act on this situation

If any problem or symptoms of heavy bleeding then surgery is required otherwise not Renal function test -urea , creatinine and uric acid to be done Renal arteries Doppler and blood pressure should be checked

Need the clinical orientation.why was this done? Are you getting evaluated for infertility?

I wish to know first what are the symptoms the patient has... We don't treat scan report ... We treat symptoms of the patient . Scan us only to diagnose the cause of the symptoms... If not complaint of menstruation then better to concentrate on kidney issues first .

Hi. The uterine size is not very big . Only if you are having heavy bleeding or severe pain during periods treatment is required . Take care of your Renal problem .

There are multiple fibroid in uterus.  But the size is small.   Multiple fibroid   always dies not means uterus removal, treatment depends upon the symptoms  and it's severity. It can be medical with medicine or surgery