| A teenager with complaints of dysalgomenorrhea, day 6 of the cycle, by her words - menstruation is over. The size of the uterus, as in parous women. Myometrium is diffuse with hyperechoic lesions (endometriosis / adenomyosis?). In the upper and middle thirds of the uterine cavity - fluid, in the lower third - an echogenic lesion (clot?). At follow-up ultrasound, after 5 days, the “clot” and the fluid in the cavity disappeared, the uterus decreased to its normal size, but, as it says, “The longer they look, the more they'll find”. Upon careful viewing of the cine loop in the “off-line” mode - without a patient, new questions appeared - at the border of the lower and middle third, in the lateral parts of the uterus a linear structure (synechia?). external link | |
