MRI
Axial T1
Sagittal T2
Coronal T2
Axial T2
T1 C+ fat sat
Sagittal T1 C+ fat sat
The uterus is enlarged with focal thickening of the endometrium-myometrium junctional zone at the corporeofundal region (thickness=46 mm), seen as an ill-defined area within the myometrium of intermediate signal on T1 and T2 with foci of high signal (ectopic endometrial tissue within the myometrium). A mass effect is noted on the endometrial cavity which contains hyperintense fluid.
Small Nabothian cysts are noted.