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Prevalence and distribution of adnexal findings suggesting endometriosis in patients with MR diagnosis of adenomyosis

Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital, Harvard Medical School, USA

View larger version (107K): [in a new window]   Figure 1. 35-year old woman with posterior wall adenomyoma and coexisting right ovarian endometrioma.(a) Sagittal T2 weighted MR image (repetition time (TR) 5800/echo time (TE) 100) shows classical findings of adenomyosis involving the posterior wall of the uterus. Ill defined adenomyoma with T2 bright focus within (arrow). (b) Coronal T2 weighted MR image (TR 5000/TE 125) shows right ovarian endometrioma with T2 shading (arrow). (c) Axial T1 weighted fat saturated MR image (TR 150/TE 1.8) shows very hyperintense right ovarian endometrioma (arrow).

View larger version (88K): [in a new window]   Figure 2. 38-year-old woman with adenomyosis and serosal endometriosis.(a) Sagittal T2 weighted MR image (repetition time (TR) 5800/echo time (TE) 100) shows junctional zone thickening (arrow) consistent with adenomyosis. (b) Sagittal gradient echo T1 weighted fat saturated MR image (TR 150/TE 1.8) shows hyperintense focus (arrow) suggestive of serosal implant.