EURORAD ESR

Case 15008

Uterine adenomyosis treated by transcatheter uterine artery embolisation

Author(s)
Essam Hashem, MBBCh, MSc, FRCR(2A)

Ain Shams University Hospitals, Cairo, Egypt,
essamhashem@med.shams.edu.eg
 
Patient
female, 47 year(s)
 
 
  • Figure 1
    Pelvic MRI T2-weighted images (before treatment)
     

    T2-weighted sagittal MRI of the pelvis (sequential images 1/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 2/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 3/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 4/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 5/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 6/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 7/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 8/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis showing: junctional zone thickness and fundal adenomyoma size

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis showing: anterior wall leiomyoma size

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;
     
     
  • Figure 2
    Pelvic MRI T1-weighted images (before treatment)
     

    T1-weighted sagittal MRI of the pelvis (sequential images 1/6), showing: multiple myometrial bright stria & tiny foci

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T1-weighted sagittal MRI of the pelvis (sequential images 2/6), showing: multiple myometrial bright stria & tiny foci

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T1-weighted sagittal MRI of the pelvis (sequential images 3/6), showing: multiple myometrial bright stria & tiny foci

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T1-weighted sagittal MRI of the pelvis (sequential images 4/6), showing: multiple myometrial bright stria & tiny foci

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T1-weighted sagittal MRI of the pelvis (sequential images 5/6), showing: multiple myometrial bright stria & tiny foci

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T1-weighted sagittal MRI of the pelvis (sequential images 6/6), showing: multiple myometrial bright stria & tiny foci

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;
     
     
  • Figure 3
    Pelvic MRI contrast-enhanced T1-weighted images (before treatment)
     

    Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 1/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 2/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 3/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 4/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 5/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 6/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;
     
     
  • Figure 4
    Angiography
     

    Digital subtraction angiography (DSA) of right uterine artery using 4 French (F) Cobra catheter: dilated tortuous uterine artery with cork-screw spiral appearance of its branches

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Haemorrhage;

    DSA of left uterine artery using 4F Cobra catheter: dilated tortuous uterine artery with cork-screw spiral appearance of its branches

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Haemorrhage;

    Catheter angiography (sequential images 1/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Haemorrhage;

    Catheter angiography (sequential images 2/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Haemorrhage;

    Catheter angiography (sequential images 3/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Haemorrhage;

    Catheter angiography (sequential images 4/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Haemorrhage;

    Catheter angiography (sequential images 5/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Haemorrhage;
     
     
  • Figure 5
    Pelvic MRI T2-weighted images (after treatment)
     

    T2-weighted sagittal MRI of the pelvis (sequential images 1/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 2/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 3/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 4/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 5/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 6/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 7/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis (sequential images 8/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis, showing regression of pre-embolisation MRI findings: decreased thickness of junctional zone

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis, showing regression of pre-embolisation MRI findings: fundal adenomyoma became smaller & hypointense

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    T2-weighted sagittal MRI of the pelvis, showing regression of pre-embolisation MRI findings: decreased size of anterior wall leiomyoma

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;
     
     
  • Figure 6
    Pelvic MRI T1-weighted images (after treatment)
     

    Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 1/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 2/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 3/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 4/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 5/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 6/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;
     
     
  • Figure 7
    Pelvic MRI contrast-enhanced T1-weighted images (after treatment)
     

    Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 1/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 2/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 3/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 4/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 5/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;

    Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 6/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Haemorrhage;
     
     
T2-weighted sagittal MRI of the pelvis (sequential images 1/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 2/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 3/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 4/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 5/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 6/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 7/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 8/8), showing: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis showing: junctional zone thickness and fundal adenomyoma size
 
T2-weighted sagittal MRI of the pelvis showing: anterior wall leiomyoma size
 
T1-weighted sagittal MRI of the pelvis (sequential images 1/6), showing: multiple myometrial bright stria & tiny foci
 
T1-weighted sagittal MRI of the pelvis (sequential images 2/6), showing: multiple myometrial bright stria & tiny foci
 
T1-weighted sagittal MRI of the pelvis (sequential images 3/6), showing: multiple myometrial bright stria & tiny foci
 
T1-weighted sagittal MRI of the pelvis (sequential images 4/6), showing: multiple myometrial bright stria & tiny foci
 
T1-weighted sagittal MRI of the pelvis (sequential images 5/6), showing: multiple myometrial bright stria & tiny foci
 
T1-weighted sagittal MRI of the pelvis (sequential images 6/6), showing: multiple myometrial bright stria & tiny foci
 
Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 1/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma
 
Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 2/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma
 
Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 3/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma
 
Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 4/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma
 
Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 5/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma
 
Contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 6/6), showing iso-enhancing fundal adenomyoma & anterior wall leiomyoma
 
Digital subtraction angiography (DSA) of right uterine artery using 4 French (F) Cobra catheter: dilated tortuous uterine artery with cork-screw spiral appearance of its branches
 
DSA of left uterine artery using 4F Cobra catheter: dilated tortuous uterine artery with cork-screw spiral appearance of its branches
 
Catheter angiography (sequential images 1/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux along the catheter course proximally, denoting adequate embolisation
 
Catheter angiography (sequential images 2/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux along the catheter course proximally, denoting adequate embolisation
 
Catheter angiography (sequential images 3/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux along the catheter course proximally, denoting adequate embolisation
 
Catheter angiography (sequential images 4/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux along the catheter course proximally, denoting adequate embolisation
 
Catheter angiography (sequential images 5/5) of both uterine arteries, after embolisation using 500-700 μm particles, showing pruning of uterine artery branches & stasis of injected contrast with retrograde reflux along the catheter course proximally, denoting adequate embolisation
 
T2-weighted sagittal MRI of the pelvis (sequential images 1/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 2/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 3/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 4/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 5/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 6/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 7/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis (sequential images 8/8), showing improvement/regression of the findings seen on pre-embolisation MRI: thickened junctional zone, fundal adenomyoma, multiple myometrial bright stria & tiny foci, and anterior wall leiomyoma
 
T2-weighted sagittal MRI of the pelvis, showing regression of pre-embolisation MRI findings: decreased thickness of junctional zone
 
T2-weighted sagittal MRI of the pelvis, showing regression of pre-embolisation MRI findings: fundal adenomyoma became smaller & hypointense
 
T2-weighted sagittal MRI of the pelvis, showing regression of pre-embolisation MRI findings: decreased size of anterior wall leiomyoma
 
Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 1/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI
 
Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 2/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI
 
Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 3/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI
 
Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 4/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI
 
Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 5/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI
 
Post-embolisation T1-weighted sagittal MRI of the pelvis (sequential images 6/6), showing almost total disappearance of multiple myometrial bright stria & tiny foci, which were noted on the pre-embolisation MRI
 
Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 1/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI
 
Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 2/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI
 
Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 3/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI
 
Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 4/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI
 
Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 5/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI
 
Post-embolisation contrast-enhanced T1-weighted sagittal MRI of the pelvis (sequential images 6/6), showing hypo-enhancing fundal adenomyoma & anterior wall leiomyoma, which were iso-enhancing on the pre-embolisation MRI
 
 
 
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