MRI - MRI pelvis
Axial T1
Axial T1 fat sat
Axial T2
Coronal T2
Sagittal T2
Axial DWI
Axial ADC
Axial T1 C+ fat sat
Sagittal T1 C+ fat sat
Coronal T1 C+ fat sat
Marked bilateral hemato/hydrosalpinges reaching 4 cm in caliber, showing foci of blood signal as well as marked diffusion restriction.
Multiple islands of deep invasive uterine endometriosis, involving the outer myometrium and showing low T2 signal, the largest of which is 5 cm and shows internal microcysts of blood signal. The uterus is retroverted, with normal endometrial and junctional zone thickness.
A T2 hypointense plaque measuring 12 mm involves the colonic wall at the level of recto-sigmoid junction (which may explain the bleeding per rectum).
Minimal free pelvic fluid.