My ultrasound says i have: fibroid/dub and the exam techs impression was that i have ut heterogeneous, what does that mean?

Abnormal uterus: Dub is dysfunctional uterine bleeding and should be used to describe abnormal bleeding related to menstrual or hormonal issues. Heterogenous when used to describe the uterus, usually means abnormalities in the wall of the uterus, commonly fibroids or adenomyosis. You should get a better explanation as it relates to you from your gynecologist.

Need pelvic MRI: One of most common mistakes made on the interpretation of pelvic ultrasound is missing adenomyosis. I have seen countless women who have been misdiagnosed as having fibroids on ultrasound when instead they had adenomyosis. The tipoff to this is "ut heterogenous" adenomyosis has similar symptoms (pain, heavy menses) but treated a lttle differently. Pelvic MRI would settle this. You might have both.