33-year-old female with heavy, frequent menses. Evaluate for adenomyosis. PELVIS:UTERUS, ADNEXA: The uterus measures up to 7.8 cm in transverse, 6 cm in AP, and 12.8 cm in length. Demarcation of the junctional zone is difficult to visualize, and indistinct margins are suggestive adenomyosis. No suspicious lesions are identified on the postcontrast series.Bilateral normal-appearing ovaries containing small follicles. Incidental noted is made of a small nabothian cyst.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Demarcation of the junctional zone difficult to visualize; the indistinct margins suggestive of adenomyosis. Ultrasound may be useful for further clarification.2.With respect to myometrial heterogeneity seen, underlying neoplastic process felt to be less likely; no suspicious lesions identified on the postcontrast series, progressive enhancement of myometrium noted. 