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Click 42 year old female with adenoma malignum. CT: Images obtained on a 16 slice GE Light Speed Ultra scanner at 120kVp, 72 mAs, 5 mm slice thickness, 100 mL IV Optiray 320 and 8ml of Telebrix 38 Oral in 450mL of water. A multiloculated cystic mass is seen in the uterine cervix. Predominantly hypodense lesions in both adnexae are noted and more thoroughly assessed on subsequent MRI.

Click 42 year old female with adenoma malignum. Unenhanced T1 axial images (TE/TR 12/604 msec). The cystic spaces of the cervical mass are very low signal intensity; the surrounding cervical stromal tissue is normal, low signal intensity. Foci of high signal within the ovarian lesions have corresponding shading on T2 weighted images and are in keeping with hemorrhage. As described in the case report; the ovarian lesions were proven to be endometriomas at pathology. Acquired on a 1.5 T Siemens Symphony after 20mg IV buscopan and vaginal gel.

Click 42 year old female with adenoma malignum. IV contrast enhanced T1 axial images with fat saturation (TE/TR 12/590 msec). Of note on this series: There is enhancement of the intervening septations within the multilobulated cystic mass in the cervix; however, no abnormal enhancement is identified within the cysts themselves or the parametrium. The ovaries also demonstrate normal enhancement, but there is not enhancement within the cystic ovarian masses. Acquired on a 1.5 T Siemens Symphony after 20mg IV buscopan and vaginal gel. Contrast enhancement with 15mL IV Optimark.

Click 42 year old female with adenoma malignum. Unenhanced T2 weighted axial images (TE/TR 97/4000 msec). Multiple sharply defined round T2 hyper intense cysts expand the cervix. The multilobulated cystic mass is confined to the cervix with an intact ring of surrounding cervical stroma and no evidence of parametrial invasion. Hemorrhagic components of the ovarian lesions demonstrate T2 shading. The central portion of the right ovarian lesion demonstrates heterogeneous internal signal. Acquired on a 1.5 T Siemens Symphony after 20mg IV buscopan and vaginal gel.

Click 42 year old female with adenoma malignum. Unenhanced T2 Weighted sagittal images (TE/TR 97/4000 msec). Findings as are for axial T2 series; position of the adenoma malignum lesion is better seen within the cervix. Acquired on a 1.5 T Siemens Symphony after 20mg IV buscopan and vaginal gel.

Click 42 year old female with adenoma malignum. Unenhanced 3D spoiled gradient echo T1 weighted image (TE/2.20/4.45 msec) with fat saturation. Findings as are as for axial T1 series. Series was acquired for baseline prior to contrast enhancement in the sagittal plane. Acquired on a 1.5 T Siemens Symphony after 20mg IV buscopan and vaginal gel.

Click 42 year old female with adenoma malignum. IV contrast enhanced 3D spoiled gradient echo T1 weighted image (TE/2.20/4.45 msec) with fat saturation. Series nicely depicts enhancement within the intervening septa of the cystic cervical mass. Intervening tissue enhances to the same degree as the normal stroma. Acquired on a 1.5 T Siemens Symphony after 20mg IV buscopan and vaginal gel. Contrast enhancement with 15mL IV Optimark.