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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
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Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 2 min.
5 topics, 14 min.
11 topics, 40 min.
Introduction to Mullerian Duct Anomalies (MDA)
5 m.Agenesis
4 m.Unicornuate with Rudimentary Horn
5 m.Didelphys Uterus – Pediatric
5 m.Didelphys Uterus – Adult
4 m.Unknown case – Septate (Complete Septate Uterus)
7 m.Complete Septate MRI (Fibrous Septum)
6 m.Partial Septate on US
3 m.Bicornuate Uterus - Case 1
4 m.Bicornuate Uterus - Case 2
2 m.Mullerian Duct Anomalies (MDA) – Teaching Points
2 m.8 topics, 21 min.
10 topics, 27 min.
Adenomyosis – Introduction
6 m.Adenomyosis Nodules
3 m.Adenomyosis – Cysts in 26 y/o Patient
3 m.Venetian Blind Appearance of Adenomyosis
3 m.Multiple Imaging Findings of Adenomyosis
4 m.Adenomyosis on MRI – Focal Thickening
3 m.Classic Adenomyosis on MRI – T2 Cysts
2 m.Adenomyosis – Problem Solving with MRI
4 m.Adenomyosis – Problem solving MRI with Endometrioma
4 m.Adenomyosis – Teaching Points
2 m.7 topics, 23 min.
11 topics, 25 min.
10 topics, 26 min.
Introduction- Post Pregnancy Considerations
1 m.Endometritis (After C-Section)
3 m.C- Section Dehiscence
4 m.C-Section Pseudoaneurysm
4 m.Retained Products of Conception (RPOC)
3 m.Retained Products of Conception and Ancillary Findings
5 m.Arteriovenous Malformation (AVM)
5 m.Arteriovenous Malformation (AVM) – Companion Case
3 m.Isthmocele – Three Appearances
3 m.Teaching Points- Post Pregnancy Considerations
1 m.0:02
The first case is of a 57-year-old female who's
0:04
postmenopausal for approximately five years.
0:07
We'll start here with her
0:08
sagittal uterus cine clip.
0:09
I find in the diagnosis of adenomyosis,
0:12
the sagittal is just indispensable.
0:14
This is what I use to diagnose it.
0:16
So just scrolling through
0:17
once, the uterus is slightly small.
0:20
Again, she's postmenopausal five,
0:21
five years, so that makes sense.
0:23
We'll stop sort of centrally here.
0:25
Where exactly would you
0:26
measure this endometrium?
0:28
Now here, maybe you have a nice good
0:30
interface right here where the endometrium
0:31
ends, the myometrium starts, but in other
0:33
places it's really hard to tell if it's at
0:35
the end here, maybe over here, way up here.
0:39
And that's because we've lost that interface.
0:42
The other things that we're seeing here, we're
0:43
seeing these echogenic like striations like
0:47
emanating out from the endometrium down here.
0:49
We're also seeing these nodules right here,
0:51
right here, these echogenic nodules, more
0:53
nodules right here, and these are not in the
0:56
endometrium, they're in the myometrium adjacent.
0:58
More nodules here, striations here,
1:00
striations here, so in this case, you can
1:03
actually maybe see the junctional zone.
1:05
I said, you don't often see it with ultrasound,
1:07
but I can certainly imagine this is probably
1:09
a thickened junctional zone right here.
1:11
And again, these striations and echogenic nodules,
1:13
which are the same sort of
1:14
echogenicity of the endometrium itself.
1:16
Those are the ectopic endometrial glands
1:20
emanating out into the myometrium right there.
1:23
And in this case, our sonographer was
1:25
practicing with the 3D right here.
1:27
It's not the most beautiful image right here.
1:29
We have, you know, vague fundal contour
1:31
right here, endometrium right here,
1:33
and you can see all these little bright spots.
1:34
One of the reasons why this didn't turn out
1:36
really nicely is because you see all of these
1:38
bright spots emanating out from the endometrium
1:41
here, because that is ectopic endometrial
1:43
tissue extending out into the myometrium.
1:46
So this is a pretty classic example of
1:48
adenomyosis, where you get the loss of
1:51
the interface between the endometrium and
1:52
myometrium, and you see these emanating
1:55
striations and echogenic nodules into the
1:58
myometrium from the endometrium there.
2:01
This is classic adenomyosis.
Interactive Transcript
0:02
The first case is of a 57-year-old female who's
0:04
postmenopausal for approximately five years.
0:07
We'll start here with her
0:08
sagittal uterus cine clip.
0:09
I find in the diagnosis of adenomyosis,
0:12
the sagittal is just indispensable.
0:14
This is what I use to diagnose it.
0:16
So just scrolling through
0:17
once, the uterus is slightly small.
0:20
Again, she's postmenopausal five,
0:21
five years, so that makes sense.
0:23
We'll stop sort of centrally here.
0:25
Where exactly would you
0:26
measure this endometrium?
0:28
Now here, maybe you have a nice good
0:30
interface right here where the endometrium
0:31
ends, the myometrium starts, but in other
0:33
places it's really hard to tell if it's at
0:35
the end here, maybe over here, way up here.
0:39
And that's because we've lost that interface.
0:42
The other things that we're seeing here, we're
0:43
seeing these echogenic like striations like
0:47
emanating out from the endometrium down here.
0:49
We're also seeing these nodules right here,
0:51
right here, these echogenic nodules, more
0:53
nodules right here, and these are not in the
0:56
endometrium, they're in the myometrium adjacent.
0:58
More nodules here, striations here,
1:00
striations here, so in this case, you can
1:03
actually maybe see the junctional zone.
1:05
I said, you don't often see it with ultrasound,
1:07
but I can certainly imagine this is probably
1:09
a thickened junctional zone right here.
1:11
And again, these striations and echogenic nodules,
1:13
which are the same sort of
1:14
echogenicity of the endometrium itself.
1:16
Those are the ectopic endometrial glands
1:20
emanating out into the myometrium right there.
1:23
And in this case, our sonographer was
1:25
practicing with the 3D right here.
1:27
It's not the most beautiful image right here.
1:29
We have, you know, vague fundal contour
1:31
right here, endometrium right here,
1:33
and you can see all these little bright spots.
1:34
One of the reasons why this didn't turn out
1:36
really nicely is because you see all of these
1:38
bright spots emanating out from the endometrium
1:41
here, because that is ectopic endometrial
1:43
tissue extending out into the myometrium.
1:46
So this is a pretty classic example of
1:48
adenomyosis, where you get the loss of
1:51
the interface between the endometrium and
1:52
myometrium, and you see these emanating
1:55
striations and echogenic nodules into the
1:58
myometrium from the endometrium there.
2:01
This is classic adenomyosis.
Report
Faculty
Kathryn McGillen, MD
Assistant Professor of Radiology, Medical Director of Ultrasound
Penn State University Milton S Hershey Medical Center
Tags
Vascular
Uterus
Ultrasound
Idiopathic
Gynecologic (GYN)
Body
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