Pelvic MRI is able to help identify uterine fibroids and uterine sarcomas through enhanced delayed visualization. Pelvic MRI is one of the more commonly used modalities in gynecological clinical examination, which can provide a complete view of the entire uterus from different angles, as well as a complete picture of the uterus in relation to the surrounding pelvic organs such as the bowel and bladder, and has a higher degree of specificity in the differentiation between uterine fibroids and uterine sarcomas. Pelvic MRI also helps clinicians to know the location of fibroids before and during laparoscopic surgery to reduce residuals. If there is any abnormality in the organism, it is recommended to seek prompt medical attention to clarify the cause with the help of the doctor and to provide targeted management or treatment.