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A 47-year-old with 2 months of menorrhagia. Histopathology showed 21% invasion by the endometrial carcinoma. The images demonstrate measurements of the endometrium on the grey scale and elastogram for the calculation of the distance ratio. (a) Gray scale ultrasound image showed endometrial thickness of 13.5 mm, some heterogeneity. (b) Sonoelastography showed reduced soft endometrial tissue thickness (within calipers) compared to gray scale measurement at 6.5 mm
