Question 1120
{"accessible":true,"alternatives":[{"id":5598,"text":"adenomyosis"},{"id":5599,"text":"endometrial carcinoma"},{"id":5600,"text":"leiomyoma"},{"id":5601,"text":"myometrial contraction"},{"id":5602,"text":" tamoxifen-associated endometrial change"}],"archived":false,"correctAlternativeId":5598,"explanation":"\u003cp\u003eUltrasound features are of\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/adenomyosis-of-the-uterus\"\u003eadenomyosis\u003c/a\u003e, including asymmetrical uterine wall thickening anteriorly with focal heterogeneity with blood vessels coursing through the abnormality, as well as the \"Venetian blind\" pattern of acoustic shadowing. Other features include\u0026nbsp;hyperechoic myometrial islands and\u0026nbsp;ill-definition of the myometrial-endometrial interface.\u003c/p\u003e","id":1120,"imageUrl":"https://prod-images-static.radiopaedia.org/images/914046/5b99e27564134e0080993e45b01180_big_gallery.jpg","imageAttribution":{"kind":"case","rID":13726},"imageAttributionCaseInfo":{"title":"Adenomyosis","contributor_name":"Alexandra Stanislavsky","contributor_param":"alexandra","case_rid":13726,"case_param":"adenomyosis-4"},"firstQuestionPath":"/questions/1596","nextQuestionPath":null,"relatedArticles":[{"id":30193,"title":"Leiomyoma","link":"/articles/leiomyoma?lang=us"},{"id":10171,"title":"Adenomyosis","link":"/articles/adenomyosis?lang=us"},{"id":46548,"title":"Transient physiological myometrial contraction","link":"/articles/transient-physiological-myometrial-contraction?lang=us"},{"id":12724,"title":"Tamoxifen-associated endometrial changes","link":"/articles/tamoxifen-associated-endometrial-changes-2?lang=us"}],"alsoUsedIn":[{"id":233,"kind":"RestrictedPage","title":"Page 233 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/233"},{"id":240,"kind":"Course","title":"Radiology Review Course - Melbourne - page 240","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/240"},{"id":240,"kind":"Course","title":"Radiology Review Course - Melbourne - page 240","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2018/pages/240"},{"id":240,"kind":"Course","title":"Radiology Review Course - Melbourne - page 240","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/240"},{"id":240,"kind":"Course","title":"Radiology Review Course - page 240","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/240"},{"id":641,"kind":"Course","title":"Lectures by Alexandra Stanislavsky - page 641","link":"https://radiopaedia.org/courses/lectures-by-alexandra-stanislavsky/pages/641"},{"id":641,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 641","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/641"},{"id":641,"kind":"Course","title":"Obstetrics \u0026 Gynaecology Lectures - page 641","link":"https://radiopaedia.org/courses/obgyn-lectures/pages/641"},{"id":641,"kind":"Course","title":"2020 Virtual Conference Private Use - page 641","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/641"}],"stem":"\u003cp\u003eA 35-year-old female presents with dysmenorrhea and heavy menstrual bleeding and is assessed with a transvaginal ultrasound examination. What is the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1120"}],"attemptsPercentages":[{"alternativeId":"5601","percentage":1},{"alternativeId":"5602","percentage":2},{"alternativeId":"5600","percentage":9},{"alternativeId":"5598","percentage":86},{"alternativeId":"5599","percentage":3}],"promptToLogin":false,"questionManager":false,"articleId":"endometrial-carcinoma"}