Ultrasound Features:
- Bulky uterus.
- Posterior myometrium is thicker than the anterior one.
- Posterior myometrium is inhomogeneous with areas of fan-shaped shadowing and interrupted junctional zone.
- A well-defined oval hypoechoic area is noted at the right posterolateral myometrium of the uterine body.
- Multiple tiny well-defined anechoic cystic areas are seen in the cervical region.
Ultrasound Diagnosis:
- Bulky uterus with adenomyosis, a small fibroid (Type 4) & nabothian Cysts.
- According to FIGO classification, Type 4: Intramural.
Ultrasound Images:
TVS - Uterus LS: Bulky
TVS - Uterus TS
Small intramural fibroid
Small intramural fibroid
Small intramural fibroid
Nabothian cysts at cervix
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