“ Benign, ectopic endometrial glands in the myometrium that cause myometrial hypertrophy. The symptoms are dysmenorrhoea/menorrhagia. MRI ...
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Benign, ectopic endometrial glands in the myometrium that cause myometrial hypertrophy. The symptoms are dysmenorrhoea/menorrhagia.
MRI
• Ill-defined thickening of the junctional zone (>12 mm), fibrotic with low signal on T1 and T2.
• Small foci of high signal on susceptibility sequences indicate blood products.
• The uterus is diffusely enlarged, but no discrete mass and outer contours are preserved (unlike fibroids).
• May also appear as focal disease.
Sagittal T2-weighted image of the pelvis showing thickening of the junctional zone and multiple small foci of T2 hyperintensity in the myometrium (white arrow), in keeping with adenomyosis.
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