Interactive Transcript
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Our next case, another pelvic MRI,
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which shows some classic findings of adenomyosis.
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We'll start with our T2, and you can see
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this was pretty marred by breathing artifacts
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here, all of our artifact right here
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that's occurring, but it's still diagnostic.
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So, your pubic symphysis here, sacrum back
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here, spinal canal back here, bladder up
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here, urethra is going to be somewhere
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in here, vagina somewhere here, rectum
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coming down here, anal canal, just to again
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give you an idea exactly where we are.
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Cervix in this case is going to be
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back here, we're a little bit off
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axis which can happen with the uterus.
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Here's your nice thin endometrium in
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this particular case, and then we have
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a very large globular uterus, right?
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And it's very asymmetric.
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Anteriorly, it looks pretty good.
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We don't really have a T2 dark, thick,
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and junctional zone per se in this person.
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It's really hard even to find it discreetly,
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but what we do have is we have this sort
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of ill-defined structure in the posterior
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uterus that has multiple T2 bright foci,
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28 00:00:59,665 --> 00:00:59,804
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poorly defined walls here.
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It doesn't look like a fibroid necessarily.
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It's not that T2 dark.
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They're usually pretty T2 dark.
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And would have well-defined walls,
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which this doesn't have, so this is a pretty
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classic T2 bright foci of adenomyosis.
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Usually sagittal, I like that the best
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for looking for those particular entities,
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but in this case, you can see it too.
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Like it's very nicely shown on
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the actual image, so again, cervix
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down here, endometrium coming up.
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You have a really large globular uterus, right?
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That's really rounded like a globe.
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And you can see here's the endometrium here.
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And this just ill-defined structure back
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here, no well-defined borders, a little bit
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darker than the rest of the myometrium with
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T2 bright foci scattered throughout it.
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This is classic, classic adenomyosis,
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asymmetric, elliptical shape, poorly defined
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borders, and in this case, somewhat focal.
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