Transvaginal sagittal uterine image displaying globular uterine enlargement and heterogeneous myometrial texture. Uterine wall thickening can show anteroposterior.

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Transvaginal sagittal uterine image displaying globular uterine enlargement and heterogeneous myometrial texture. Uterine wall thickening can show anteroposterior asymmetry, and here the posterior wall is thicker. In this image, the endomyometrial junction is also poorly defined. Last, a “shutter blind” effect is thought to reflect endometrial gland invasion into the subendometrial tissue and appears as echogenic linear striations. (Used with permission from Dr. Elysia Moschos.) Source: Pelvic Mass, Williams Gynecology, 3e Citation: Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM. Williams Gynecology, 3e; 2016 Available at: https://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/1758/p9780071849081-ch009_f013.png&sec=118168531&BookID=1758&ChapterSecID=118168387&imagename= Accessed: October 31, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved