Presentation
Pelvic pain and vaginal spotting
Patient Data
Enlarged uterus showing diffuse thickening of the junctional zone measuring 1.2 cm at maximal thickness with a large myometrial well-defined lobulated mass lesion at the right posterosuperior wall. It appears of intermediate T1 and T2 signal with multiple cystic foci within. This focal myometrial lesion is seen deforming the uterine contour and bulging into the endometrial cavity. Another similar, yet smaller mass is seen at the posterior fundus posterior to the dominant mass causing posterior uterine surface contour bulge. The endometrial cavity is distended with intraluminal high fluid signal and intermediate T2 signal core continuing caudally dilating the cervical canal.
Ectopic left pelvic kidney is seen at a left paramedian presacral location showing a few cortical renal cysts.
Case Discussion
Enlarged uterus with thickened junctional zone with focal myometrial lesions representing adenomyosis with focal adenomyomas.
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