i am 49 years old lady, my sonography report is as follows - Do I require a surgery ??

uterus is anteverted bulky hypoechoic lesions are seen in anterior uterine wall partly projecting outwards measuring 26.7*64mm and 31.4*27mm respectively                                                       
small(sub-cm)hypoechoic lesions are seen in the myometrium                                                       
                                                       
                                                       
                                                       
uterus is anteverted bulky hypoechoic lesions are seen in anterior uterine wall partly projecting outwards measuring 26.7*64mm and 31.4*27mm respectively                                                       
small(sub-cm)hypoechoic lesions are seen in the myometrium                                                       
endometriumis pushed slightly posteriorly and is normal in thickness(6.1mm).cervix apears normal                                                       
uterus measures 9.4*5.2*4.9cm                                                       
                                                       
                                                       
adnexae:both ovaries are normal in size,shape,and echogenicity.right ovary measures 2.6*1.8cm and left ovary measures 2.5 *1.7cm                                                       
pouch of douglas clear                                                       
                                                       
impression->bulky uterus                                                       
->anterior intramural fibriods with subserous components                                                       
->seeding intramural myomas