EURORAD ESR

Case 14327

MRI appearance of adenomyosis

Author(s)
Sergio Savastano, Alessandra Costantini, Davide Dal Borgo, Stefano Trupiani, Leonardo Giarraputo

Ospedale, Radiologia, Dipartimento di Diagnostica per Immagini; v.le F. Rodolofi 37 36100 Vicenza, Italy; Email:sergio.savastano@ulssvicenza.it
 
Patient
female, 35 year(s)
 
 
  • Figure 1
    MRI of the uterus.
     

    Sagittal T2w image: Large hypointense area, containing tiny cysts and hyperintense striations, involves the posterior hemisphere and fundus; the corresponding JZ is no longer identifiable.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;

    Magnification of Fig. 1a: low-signal intensity material filling the endometrial cavity and an endometrial polyp (arrow) are evident.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;

    Axial T2w image.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;

    Axial T1w image: foci of high signal intensity are recognizable within the uterus.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;

    Axial T2* image: void signal foci are detectable within the uterus and the subcutaneous fat of hypogastrium (previous laparotomy).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 2
    T1w FS MRI – sagittal view.
     

    Non enhanced T1w FS MRI.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;

    Contrast enhanced T1w FS MRI.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
Sagittal T2w image: Large hypointense area, containing tiny cysts and hyperintense striations, involves the posterior hemisphere and fundus; the corresponding JZ is no longer identifiable.
 
Magnification of Fig. 1a: low-signal intensity material filling the endometrial cavity and an endometrial polyp (arrow) are evident.
 
Axial T2w image.
 
Axial T1w image: foci of high signal intensity are recognizable within the uterus.
 
Axial T2* image: void signal foci are detectable within the uterus and the subcutaneous fat of hypogastrium (previous laparotomy).
 
Non enhanced T1w FS MRI.
 
Contrast enhanced T1w FS MRI.
 
 
 
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