The Uterus

 Early in the menstrual cycle

– endometrium measures 4-8 mm
 Secretory phase
– endometrium measures 7-14 mm
– Periovulatory phase 6-10 mm
 Post-menopausal patient (Not on HRT)
– endometrial stripe usually less than 4-5 mm
 Endometrial Stripe (ES)
Measurements
 In the post-partum patient, a thickened ES is
suggestive of retained products of conception

 In the pregnant patient, an ES measurement of < 8

mm in the absence of an IUP is suggestive of
Ectopic pregnancy

 Thickening of the endometrial stripe in the post-

menopausal patient with vaginal bleeding should
raise suspicions for endometrial carcinoma
Polyp vs Carcinoma
A molar pregnancy is a gestational trophoblastic disease which
grows into a mass in the uterus that has swollen chorionic villi.
 Ovaries
 Lie posterior/lateral to the
uterus

 Anterior to the internal

iliac vessels and medial to
the external iliac vessels

 Identified by a ring of
follicles in the periphery
Mucinous cystadenoma
Mature teratoma (Dermoid)
Ovarian dermoid
PCO
MR signal characteristics

T1 T2 Diagnosis Example
Low High Fluid Urine in the bladder

Low Low Calcium Lieomyoma

Fibrous tissue

High High Blood Hemorrhagic cyst

endometriosis,..

High Low Fat Normal pelvic fat

Dermoid cyst
Anatomy , MRI

Axial Sagittal Coronal

Anatomy , MRI

T
T2
1
Anatomy , MRI

T
1 T2