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Dysfunctional uterine bleeding CT

Introduction

Overview

Overview

CT scans are not the primary modality of assessing for underlying causes, but it may show some changes. It may be difficult to differentiate polyps, adenomyosis and leiomyoma’s from each other. CT can help asses for the presence of metastasis secondary to endometrial cancer.

CT

CT

CT Scan Findings
Underlying Cause CT Scan Findings
Endometrial Polyps[1]
Case courtesy of Dr Ahmed Abdrabou, Radiopaedia.org, rID: 22640
Adenomyosis[2]
Case courtesy of Associate Professor Natalie Yang, Radiopaedia.org, rID: 9868
Leiomyoma[3]
Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 17065
  • Soft tissue densities
  • May exhibit coarse peripheral or central calcification
  • May distort the smooth uterine contour
Malignancy[4]
Case courtesy of Dr Ayush Goel, Radiopaedia.org, rID: 35271
  • CT is helpful in assessing for the presence of metastasis
  • Difficult to differentiate from a normal uterus
  • Thickening or a mass may be visible
References

References

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S