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Case 10.18 

Case 10.18
Chapter:
Case 10.18
Author(s):

Christine U. Lee

, and James F. Glockner

DOI:
10.1093/med/9780199915705.003.0269
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date: 15 October 2019

72-year-old woman with vaginal bleeding

Sagittal fat-suppressed FSE T2-weighted images (Figure 10.18.1) demonstrate an ill-defined mass in the endometrial cavity that extends into the myometrium of the uterine fundus superiorly and protrudes into the lower uterine segment. There are multiple round, T2-hypointense fibroids within the uterine body and fundus. Notice the bulky, heterogeneously enhancing mass centered in the vagina and extending anteriorly to encase the urethra and bladder base and abutting the rectum posteriorly. Axial FSE T2-weighted image through the inferior pelvis (...

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