This 32-year-old female presents with uterine fibroids, fertility problems and complaints of lower back pain with menstruation. There is questionable endometriosis, so what’s your call? And any other observations?
There are bilateral, thick-walled (T1 hyperintense, T2 iso- hypointense) cystic lesions present in the adnexal regions (arrows-images one and three). These are consistent with endometriomas. Hypointense focal thickening of the retrocervical region with small areas of T1 hyperintensities may represent deep endometriosis (arrows, images two, four and five). For more case review, visit MRI Online.