A pelvic MRI with and without gadolinium was obtained and shows a septated cystic cervical mass with the same measurements. This mass occupies and expands the entire cervix, extending from the endocervix to the exocervix and contains multiple simple appearing cysts. This mass has low T1 signal and high T2 signal. There are no definite soft tissue nodules; however, the cyst wall and/or septations had prominent enhancement. Adenoma malignum was originally suggested at an outside institution, based on these imaging characteristics. The patient underwent a cone biopsy of the cervix which revealed cystic cervicitis with no evidence of adenoma malignum or adenocarcinoma.
- MRI (T2):
- MRI (T1 C+ fat sat):