Diffuse uterine adenomyosis with ovarian endometrioma and deep infiltration
Diagnosis almost certain
Presentation
Chronic pelvic pain.
Patient Data
Age: 40 years
Gender: Female
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/127255/annotated_viewer_json?lang=us"}
- enlarged uterus with diffuse thickening of the junctional zone endometrium-myometrium (up to 25 mm) of intermediate signal on T1, and low signal on T2 in keeping with diffuse adenomyosis
- well-defined left ovarian cystic mass of high signal on T1, T1 fat sat with T2 shading sign and no enhancement on postcontrast sequences in keeping with ovarian endometrioma
- thickened uterosacral ligament and torus uterinus indicating most likely a deep endometriosis.
Case Discussion
MRI features most consistent with diffuse uterine adenomyosis with ovarian endometrioma and deep endometriosis.
Unable to process the form. Check for errors and try again.