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A) Globular enlarged uterus INCORRECT
A homogeneously enlarged uterus in the absence of fibroids is characteristic of adenomyosis.1
B) Cystic myometrial spaces INCORRECT
Myometrial cysts are dilated cystic glands or foci of hemorrhage within heterotopic endometrial tissue.2 They are often less than 5 mm in size but can be extensive and of variable sizes and can be differentiated from arcuate veins seen in the outer myometrium by the use of color Doppler.1,2
C) Asymmetric myometrial thickening INCORRECT
The finding of asymmetric uterine wall thickening in adenomyosis is usually seen when there is focal disease and presents with wall thickening that demonstrates anteroposterior asymmetry.1
D) Indistinct endomyometrial interface INCORRECT
The heterotopic endometrial tissue invading the myometrium obscures the normal endometrial myometrial border with pseudo-widening of the endometrial echo resulting in poor definition of the endomyometrial junction.1,2
E) Myometrial linear striations CORRECT
A hyperplastic reaction to the infiltration of the heterotrophic endometrial glands into the myometrium results in radiating linear echogenic striations (sometimes referred to as the "venetian blinds" sign).1,2
- Sakhel A, Abuhamad A. Sonography of adenomyosis. J Ultrasound Med. 2012;31(5):805-808.
- Reinhold C, Tafazoli F, Mehio A, et al. Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics. 1999;19:S147-S160.
Dr. Kanmaniraja is Assistant Professor and Chief, Division of Abdominal Imaging, Department of Radiology, University of Florida College of Medicine-Jacksonville.
Dr. Kaunitz is University of Florida Term Professor and Associate Chairman, Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville. He is Medical Director and Director of Menopause and Gynecologic Ultrasound Services at UF Women's Health Specialists-Emerson. He also serves on the OBG Management Board of Editors.
The authors report no additional financial relationships relevant to this quiz.
Dr. Kanmaniraja is Assistant Professor and Chief, Division of Abdominal Imaging, Department of Radiology, University of Florida College of Medicine-Jacksonville.
Dr. Kaunitz is University of Florida Term Professor and Associate Chairman, Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville. He is Medical Director and Director of Menopause and Gynecologic Ultrasound Services at UF Women's Health Specialists-Emerson. He also serves on the OBG Management Board of Editors.
The authors report no additional financial relationships relevant to this quiz.
Dr. Kanmaniraja is Assistant Professor and Chief, Division of Abdominal Imaging, Department of Radiology, University of Florida College of Medicine-Jacksonville.
Dr. Kaunitz is University of Florida Term Professor and Associate Chairman, Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville. He is Medical Director and Director of Menopause and Gynecologic Ultrasound Services at UF Women's Health Specialists-Emerson. He also serves on the OBG Management Board of Editors.
The authors report no additional financial relationships relevant to this quiz.
A) Globular enlarged uterus INCORRECT
A homogeneously enlarged uterus in the absence of fibroids is characteristic of adenomyosis.1
B) Cystic myometrial spaces INCORRECT
Myometrial cysts are dilated cystic glands or foci of hemorrhage within heterotopic endometrial tissue.2 They are often less than 5 mm in size but can be extensive and of variable sizes and can be differentiated from arcuate veins seen in the outer myometrium by the use of color Doppler.1,2
C) Asymmetric myometrial thickening INCORRECT
The finding of asymmetric uterine wall thickening in adenomyosis is usually seen when there is focal disease and presents with wall thickening that demonstrates anteroposterior asymmetry.1
D) Indistinct endomyometrial interface INCORRECT
The heterotopic endometrial tissue invading the myometrium obscures the normal endometrial myometrial border with pseudo-widening of the endometrial echo resulting in poor definition of the endomyometrial junction.1,2
E) Myometrial linear striations CORRECT
A hyperplastic reaction to the infiltration of the heterotrophic endometrial glands into the myometrium results in radiating linear echogenic striations (sometimes referred to as the "venetian blinds" sign).1,2
A) Globular enlarged uterus INCORRECT
A homogeneously enlarged uterus in the absence of fibroids is characteristic of adenomyosis.1
B) Cystic myometrial spaces INCORRECT
Myometrial cysts are dilated cystic glands or foci of hemorrhage within heterotopic endometrial tissue.2 They are often less than 5 mm in size but can be extensive and of variable sizes and can be differentiated from arcuate veins seen in the outer myometrium by the use of color Doppler.1,2
C) Asymmetric myometrial thickening INCORRECT
The finding of asymmetric uterine wall thickening in adenomyosis is usually seen when there is focal disease and presents with wall thickening that demonstrates anteroposterior asymmetry.1
D) Indistinct endomyometrial interface INCORRECT
The heterotopic endometrial tissue invading the myometrium obscures the normal endometrial myometrial border with pseudo-widening of the endometrial echo resulting in poor definition of the endomyometrial junction.1,2
E) Myometrial linear striations CORRECT
A hyperplastic reaction to the infiltration of the heterotrophic endometrial glands into the myometrium results in radiating linear echogenic striations (sometimes referred to as the "venetian blinds" sign).1,2
- Sakhel A, Abuhamad A. Sonography of adenomyosis. J Ultrasound Med. 2012;31(5):805-808.
- Reinhold C, Tafazoli F, Mehio A, et al. Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics. 1999;19:S147-S160.
- Sakhel A, Abuhamad A. Sonography of adenomyosis. J Ultrasound Med. 2012;31(5):805-808.
- Reinhold C, Tafazoli F, Mehio A, et al. Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics. 1999;19:S147-S160.
A 37-year-old woman with heavy menstrual bleeding and dysmenorrhea presents to her gynecologist. Physical exam suggests an enlarged uterus; the gynecologist orders pelvic ultrasonography.
