Female 45 years old Reason: Chronic pelvic pain, menorrhagia, polymenorrhea. Evaluate for adenomyosis. History: heavy menses. Pelvic pain PELVIS:UTERUS, ADNEXA: Uterus measures 9.0 x 5.3 x 5.0 cm. The junctional zone is irregular and thickened measuring in some areas up to 20 mm. There are foci of T2 hyperintensity within the thickened junctional zone.On postcontrast imaging, there is heterogeneous enhancement of the uterus. Right ovary measures 1.9 x 1.5 cm while the left ovary measures 2.7 x 1.1 cm. There are small simple appearing bilateral ovarian cysts, likely physiologic.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace pelvic ascites.
1.Findings most suggestive of adenomyosis of the uterus.