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Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: The usefulness of diffusion-weighted MRI in the differentiation between focal uterine endometrial soft tissue lesions

Fig. 2

Axial T1-WI (a) revealed a hypointense signal intensity from the thickened endometrium. Axial T2- (b) and sagittal T2-WI (c) revealed diffuse thickening of the endometrium forming a mass-like lesion with a homogenous, high SI, and no infiltration of the junctional zone. Diffusion-weighted imaging at b = 0 (d), b = 500 (e), and b = 1000 (f) showed that the thickened endometrium lost its high SI with increasing b values (benign feature). ADC mapping (g) showed a homogenous high SI from the thickened endometrium with an ADC of 1.891 × 10−3 mm2/s. Radiological diagnosis: benign featuring increased endometrial thickening forming a mass-like lesion likely endometrial hyperplasia. Final diagnosis (according to histopathology): endometrial hyperplasia

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