Fig. 4
A 44-year-old female with diffuse and focal adenomyosis. a HSG shows irregularity of the uterine contour with small outpouchings of contrast material, findings that represent diffuse adenomyosis. b Sagittal T2-weighted MR image shows thickening of the junctional zone to more than 1 cm with numerous foci of a hyperintense signal. Coronal T1 (c) showed focal adenomyoma (arrow in c), rounded lesions with a hyperintense signal not suppressed in fat suppression sequence (not shown). Sagittal US (d–g) showing bulky uterus with an ill-defined endomyometrial junction, heterogonous myometrium with echogenic linear striation (star in e), with a hyperechoic rounded fundal lesion (nicely corporates focal adenomyoma seen at MRI), and another similar smaller one in the anterior myometrium (arrow in g)