Adenomyosis on MRI

Case contributed by Dr Alexandra Stanislavsky


Disordered uterine bleeding and mildly elevated CA-125

Patient Data

Age: 40 years
Gender: Female

The uterus is enlarged, with thickening and ill definition of the junctional zone. Multiple small T2 hyperintense foci are present throughout the myometrium, many of which have high T1 signal.  The appearance is in keeping with diffuse adenomyosis.  Several small mural fibroids are also present. Subseptate uterine morphology.

Case Discussion

This case demonstrates diffuse adenomyosis of the uterus.  The high T1 foci indicate menstrual hemorrhage into the ectopic endometrial tissue.

Adenomyosis can be associated with elevation of CA-125.

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Case information

rID: 29328
Published: 17th May 2014
Last edited: 19th Jul 2020
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Royal Women's Hospital

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