Your sonogram report should be correlated with a clinical exam and is suggestive of multiple fibroids in the uterus
. There is no mention about the left adnexa. You should get a complete evaluation by a specialist and plan the course of action to be taken further. You may need further scans, blood tests, hormonal
profiles and local exam along with pap smear
and a vaginal swab as part of a routine investigation. Hope this helps. Take care.