Fibroid Uterus with Nabothian Cyst
Ultrasound || Doppler || TVS || Case 249

Clinical Features:
A 50 years old female patient came with lower abdominal pain.

Ultrasound Features:
- Bulky uterus.
- Multiple well-defined oval heterogeneously hypoechoic subserous & intramural fibroids in the anterior myometrium of the uterine body. Color Doppler shows high impedance flow in supplying vessels.
- Tiny well-defined oval anechoic cervical nabothian cyst.

Remember:
Fibroid should have an echogenic thin pseudocapsule which helps differentiate between adenomyosis & fibroid though they may present simultaneously.

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