Adenomyosis of the uterus

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Dysmenorrhea and menorrhagia.

Patient Data

Age: 45 years
Gender: Female
mri

The uterus is enlarged.

Ill-defined thickening of the junctional zone is associated with multiple small T2 hyperintense foci throughout the fundus and body myometrium.

Small fibroid along with uterus posterior wall.

Case Discussion

MRI demonstrates an enlargement of the uterus associated with thickening and blurring of the junctional zone with multiple T2 hyperintense foci consistent with adenomyosis.

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