Diffuse uterine adenomyosis
Menorrhragia and oligomenorrhoea for 6 months. Clinician ultrasound reported as fibroid uterus for MRI.
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The uterus is markedly enlarged with the fundus at the L3-L4 disc space.
The body and fundus is diffusely enlarged due to ill defined thickening of the inner myometrium with multiple small T2 foci within. The junctional zone measures 4.5cm. No discrete mass.
Endometrial cavity normal. No distortion.
It may be diffuse, as illustrated in this fairly advanced case, or focal in nature. It is one of several causes for an enlarged uterus.