Dysfunctional uterine bleeding CT

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

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 Scan Findings

Underlying Cause	CT Scan	Findings
Endometrial Polyps	Case courtesy of Dr Ahmed Abdrabou, Radiopaedia.org, rID: 22640	Difficult to distinguish from adenomyosis
Adenomyosis	Case courtesy of Associate Professor Natalie Yang, Radiopaedia.org, rID: 9868	Uterine enlargement may be seen Appear very similar to fibroids Adenomyosis is favoured if calcifications is present
Leiomyoma	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	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