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1/3/16 On ultrasonography, most uterine leiomyomas typically appear as welldefined, solid masses Their echogenicity is usually similar to that of the myometrium, but sometimes they are hypoechoic They often show some posterior acoustic shadowing Variants of leiomyomas occur when they undergo cystic degeneration, hyalinization, or calcification28/3/ A heterogeneous uterus is a term used to describe the appearance of the uterus after an ultrasound is conducted It simply means that the uterus is not totally uniform in appearance during the ultrasound According to MedHelp, there are two common causes of a heterogeneous uterus uterine fibroids and adenomyosisThe ultrasound is from a 70 year old post menopausal female who presents with an enlarged uterus The endometrial stripe is enlarged and is filled with fluid and an enhancing soft tissue mass consistent with an endometrial carcinoma Note blood flow as depicted by Doppler exam (c) characterizing the soft tissue as tumor rather than a clot...