Adenomyosis - ovarian endometriomas

Case contributed by Ammar Haouimi
Diagnosis almost certain


Chronic pelvic pain.

Patient Data

Age: 40 years
Gender: Female

Enlarged uterus with marked thickening of the posterior junctional zone (thickness= 6 cm) seen as an ill-defined area of intermediate signal intensity on both T1WI, and T2WI with multiple small high T1WI/T2WI foci within. The right ovary shows a cystic lesion (4 x 3 cm) of high signal on T1WI/T1FS, a low signal on T2WI with no peripheral enhancement on postcontrast sequences. The left ovary shows also numerous cystic lesions, largest measures (3.9 x 2 cm) with same signal intensity.

Case Discussion

MRI features of focal adenomyosis with bilateral ovarian endometriomas.

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