Focal uterine adenomyosis

Case contributed by Naqibullah Foladi
Diagnosis almost certain

Presentation

Primary infertility for 12 years

Patient Data

Age: 50 years
Gender: Female
mri

The well-defined solid mass lesion in the anterior wall of the uterus showing low T1 and T2 signal intensities with post-contrast enhancement similar to the uterine wall.

Ill-defined mass lesion in the posterior wall of the uterus showing multiple T2 hyperintense foci with post-contrast diffuse enhancement. The junctional zone is thickened.

Case Discussion

This case shows 1) intramural fibroid in the anterior uterine wall, and 2) focal adenomyosis in the posterior uterine wall. 

This case is also contributed by Dr M M S Hoshang.

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