Welcome to health care magic. 1.The uterus seen anteverted, its lie anteriorly in relation with urinary bladder. This is normal variations. 2.Uterus appears bulky with a hypo-echoic ( black on ultrasound) mass lesion noted measuring 3x2.4cm ( uterine fibroid anterior wall ). 3.Endometrial thickness seen increased - probable cause could be the mass causing pressure effect on the endometrium. 4.Thickened endometrium shows increased echo-tecture. 5.The treatment in this case will be hormonal initially and depending on the age and reproductive status treatment alters. Good luck. Hope i have answered your query. Any thing to ask do not hesitate. Thank you.