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 The heterogeneous appearance of the myometrium includes uterine enlargement and asymmetry of the anterior or posterior myometrial wall The presence of myometrial cysts (in up to 50% of cases) is highly specific for adenomyosis (,29) (,Fig 12)Sagittal T2W MRI image shows an enlarged heterogeneous uterus containing multiple nodules (arrows) Hysterectomy and histology showed that this was diffuse leiomyomatosis There was no evidence of extrauterine spread Lipoleiomyomas Lipoleiomyomas Figure 15 are rare fatcontaining fibroids, with a reported prevalence of between 0005 and 02% They are benign and A heterogeneous uterus is a term used to describe the appearance of the uterus after an ultrasound is conducted It simply means that the uterus is not totally uniform in appearance during the ultrasound According to MedHelp, there are two common causes of a heterogeneous uterus uterine fibroids and adenomyosis Adenomyosis Radiology Reference Article Radiopaedia Org Heterogeneous echotexture ute...