Differential Diagnosis
- Single most likely diagnosis
- Cystic endometrial hyperplasia: This condition is suggested by the heterogeneous, cystic appearance of the endometrium, which is a common finding in endometrial hyperplasia.
- Other Likely diagnoses
- Adenomyosis: The nonspecific myometrial heterogeneity could be related to adenomyosis, a condition where endometrial tissue grows into the uterine wall.
- Endometrial polyps: These growths can cause a heterogeneous, cystic appearance of the endometrium and are a common finding in women of reproductive age.
- Submucosal fibroids: Although not directly mentioned, submucosal fibroids can cause heterogeneity of the endometrium and myometrium.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Endometrial carcinoma: Although neoplasia is not excluded, endometrial carcinoma is a potentially life-threatening condition that requires prompt diagnosis and treatment.
- Uterine sarcoma: A rare but aggressive type of cancer that can present with similar symptoms and imaging findings.
- Rare diagnoses
- Endometrial metastasis: Metastasis to the endometrium from other cancers is rare, but can occur, and would require prompt diagnosis and treatment.
- Uterine lymphoma: A rare type of cancer that can affect the uterus and present with nonspecific imaging findings.