Adenomyosis - Imaging approach (Case based) | Radiology Board Review Case

MRI and US features of Adenomyosis
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🎙 US features of Adenomyosis
- Diffuse, sometimes globular-shaped, uterine enlargement
- Diffusely heterogeneous myometrium.
- Asymmetrical thickening of myometrium
- Indistinct hypoechoic areas
- Myometrial cysts.
- Poor definition of endometrial-myometrial border.
- Focal tenderness elicited when scanning over the uterus
- Subendometrial echogenic linear striations
- Subendometrial echogenic nodules
- Venetian blind" or "rain shower" appearance
📠 MRI features of Adenomyosis
- Bulky globular uterus
- Thickened junctional zone - ⁉️ (Answer in the video)
- Ill-demarcated low-signal-intensity area on T2-weighted images owing to -abundant smooth muscle proliferation.
- T1/ T2 hyperintense subendometrial cysts at the junctional zone.
- Look for fibroids and endometriosis
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I'm Amar Udare, a radiology fellow training at McMaster University Canada. I have a passion for teaching and I believe in #FOAMrad
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⏱Time Stamps:
0:00 - Introduction
0:55 - PACS based case images
6:27 - Description of Imaging Findings
8:30 - Clinical features and Pathophysiology of Adenomyosis
11:31 - Ultrasound features of Adenomyosis
14:11 - CT and MRI features of Adenomyosis
17:40 - Imaging features of adenomyoma
21:00 - QnA
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[@RadioGyan]

References and further reading : radiogyan.com/videos/adenomyosis/ ⏱Time Stamps: 0:00 - Introduction 0:55 - PACS based case images 6:27 - Description of Imaging Findings 8:30 - Clinical features and Pathophysiology of Adenomyosis 11:31 - Ultrasound features of Adenomyosis 14:11 - CT and MRI features of Adenomyosis 17:40 - Imaging features of adenomyoma 21:00 - QnA

[@jatinderkumar5864]

Thanks a lot🙏

[@RadioGyan]

Most welcome 😊

[@nidaheetawala6554]

How to differentiate between a fibroid and adenomyoma?

[@RadioGyan]

Good question. Please check this link: radiogyan.com/videos/adenomyosis/

[@sakshiagarwaal3557]

Sir , the most common manifestation of long term tamoxifen therapy is endometrial polyp or cystic endometrial hyperplasia. . ... ???

[@RadioGyan]

kzbin.info/www/bejne/sHWaiIGwgdJkrsk

[@a.d.5037]

Can you also see mild endometriosis on the MRI ?

[@RadioGyan]

Yes.

[@a.d.5037]

@@RadioGyan What is a good treatment for someone with local adenomyosis who is young?

[@shruti2884]

Sir the case was adenomyoma only or adenomyosis + adenomyoma? Posterior junction zone was normal?

[@RadioGyan]

Both. Posterior junctional zone was less affected but even that was more than 12mm.

[@shruti2884]

RadioGyan - Radiology Made Easy! Ok thanks sir