A 45-year-old woman with a large, asymptomatic abdominal mass. Axial CT scan image shows a 30-cm heterogeneous mass (arrowheads) that extends up to the epigastrium. The right ovarian vein is dilated (arrow) and there is mild right hydronephrosis. There is also free intra-abdominal fluid (curved arrow). Histology confirmed this to be a massive, partly degenerate fibroid