The uterus is enlarged corresponding to 19 weeks of gestation. Within the myometrium, an ill-defined heterogeneous area is seen showing multiple serpiginous, tubular anechoic channels. On color Doppler, these channels demonstrate intense color flow with a mosaic pattern. Spectral Doppler shows high-velocity, low-resistance turbulent flow suggestive of arteriovenous shunting. No well-defined mass lesion or gestational sac abnormality is identified. Findings are consistent with uterine arterioveno
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Sonographic Adenomyotic uterus: Sonographic features of an adenomyotic uterus, typically observed during transvaginal or transabdominal ultrasound: 🔍 Gray-Scale (B-mode) Sonographic Features: 1. Globular or Enlarged Uterus • Symmetrical or mildly asymmetrical enlargement • Rounded contour, often without a distinct fibroid 2. Heterogeneous Myometrial Echotexture • Patchy, mixed echogenicity of the myometrium • “Venetian blind” type acoustic shadowing may be present (without a distinct mass) 3. M
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Uterus is enlarged and globular with heterogeneous myometrial echotexture. Myometrial cysts (small anechoic areas) are seen within the affected region. The junctional zone appears ill-defined or thickened. There is asymmetrical myometrial thickening, more pronounced in the posterior wall. On color Doppler, mild to moderate internal vascularity is noted with a fan-shaped or radial pattern. No well-defined focal mass is seen | Dr. Shabana's School of Sonology.
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