PMC9190969_01
Sagittal T2-weighted image of uterus showing well-circumscribed heterogeneous mass (A) in anterior myometrium distorting the endometrial cavity with small portion normal myometrium at the fundus (B)
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F1
The magnetic resonance imaging (MRI) revealed well-defined altered signal intensity lesion of size 6.6 cm x 7.1 cm x 7.7 cm in anterior myometrium appearing hyperintense on T2-weighted images distorting the endometrial cavity [Figure 1], suggesting of degenerated fibroid with intact cervix [Figure 2].
Sagittal T2-weighted image of the uterus with demarcated cervix
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F2
The magnetic resonance imaging (MRI) revealed well-defined altered signal intensity lesion of size 6.6 cm x 7.1 cm x 7.7 cm in anterior myometrium appearing hyperintense on T2-weighted images distorting the endometrial cavity [Figure 1], suggesting of degenerated fibroid with intact cervix [Figure 2].
Microscopic section showing chorionic villi within in blood clot suggestive of retained products of conception (H and E, x40)
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F3
Final histopathology suggested irregular endometrial surface with compressed proliferative endometrium, fibrinoid necrosis, marked chronic inflammation infiltrating into myometrium up to the serosal surface with focal chorionic villi [Figure 3] in blood clot suggestive of products of conception with no evidence of leiomyomatous tissue in the lesion.