Uterine fibroids are the most common benign gynecologic tumors in women of reproductive
age, and ultrasound is the first-line imaging modality for their diagnosis and
characterization. The International Federation of Gynecology and Obstetrics developed a
system for describing and classifying uterine fibroids uniformly and consistently. An
accurate description of fibroids in the ultrasound report is essential for planning
surgical treatment and preventing complications. In this article, we review the ultrasound
findings of fibroids, detailing the main points to be reported for preoperative
evaluation. In addition, we propose a structured, illustrated report template to describe
fibroids, based on the critical points for surgical planning.