Presentation
Menometrorrhagia.
Patient Data
Age: 50 years
Gender: Female
From the case:
Diffuse adenomyosis
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Enlarged uterus with diffuse thickening of the endometrial-myometrial junctional zone up to 25 mm of intermediate signal on T1, homogeneous low signal intensity on T2 with foci of high signal within, indicating menstrual hemorrhage into the ectopic endometrial tissues in keeping with diffuse adenomyosis. Moderate thickening of the endometrium with bleeding within the uterine cavity and vagina.
Ovarian follicles are noted (largest measures 25 mm).
Case Discussion
MRI features most consistent with diffuse uterine adenomyosis which is considered the most common form of uterine adenomyosis.