Fig. 9. Pelvic endometriosis in a 45-year-old female with severe dysmenorrhea and hypermenorrhea.

A. Axial T2 weighted images shows fibrous thickening of the torus uterinus (arrowhead) and continuous irregular thickening of the bilateral uterosacral ligament (arrows). The rectal wall is stretched strongly to the torus uterinus, suggesting severe adhesions. B. Upper slice of (A). Bilateral round ligaments (arrows) are also thickened from the origin of the uterine attachment.