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This is a 42 year old lady with complaints of discharge, On MRI uterus is bulky and anterverted; with uniformly thickened junctional zone which is likely indicative of diffuse adenomyosis. Endometrial cavity appears normal. Cervical region appears bulky with heterointense and large nabothian cyst in the region of the posterior lip of cervix.  Possible cervicitis.   On T2-weighted MR images, diffuse adenomyosis usually manifested as diffuse thickening of the endometrial-myometrial junctional zone with homogeneous low signal intensity.

Adenomyosis-MRI Reviewed by Sumer Sethi on Wednesday, June 06, 2012 Rating: 5

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