Diagnostic Ultrasound - Abdomen and Pelvis

Adenomyosis
(Left) Longitudinal
transvaginal US demonstrates
asymmetric posterior
enlargement of the uterus
body/fundus st without a
defined mass. (Right)
Transverse transvaginal US
shows diffuse heterogeneity
and thickening of the
myometrium st without a
focal mass. The
endomyometrial border is
obscured ſt.
Diagnoses: Female Pelvis
(Left) Transabdominal US
shows uterine enlargement
and diffuse heterogeneity of
the uterine parenchyma with
nonvisualization of the
endometrium. (Right) Axial
T2WI MR in the same patient
demonstrates diffuse but
asymmetric thickening of the
fundal junctional zone st with
subendometrial cysts ſt,
diagnostic of adenomyosis.
(Left) Transabdominal US
shows diffuse heterogeneity
of the uterus with asymmetric
anterior myometrial
thickening with linear
refractive shadows st,
consistent with adenomyosis.
A well-defined hypoechoic
mass with posterior
shadowing in the posterior
fundus ſt is consistent with
an intramural fibroid. (Right)
Axial T2WI MR in the same
patient better demonstrates
heterogeneity of the anterior
uterine myometrium with
thickening and cysts st as
well as the posterior
intramural fibroid ſt.
739